Individual provider Active NPI

Sachi Mistry, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1679193650
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3912 Issued in TX
Practice address
12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone
(214) 294-8989
Fax
(214) 294-8977
NPI assigned
Apr 20, 2020
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X V3912 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 300
Dallas, TX 75251-3139

Mailing address

12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone (214) 294-8989

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-9165
Phone (214) 891-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000483 TX Practitioner - Family Practice 9830622067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stella Mattina Health IncGroup PAC ID 5294116091, 11 clinicians

Practice addresses (Care Compare)

1135 N Bishop Ave
Dallas, TX 75208-4114
Phone (214) 388-8898

12201 Merit Dr
Suite 300
Dallas, TX 75251-3139
Phone (214) 294-5989

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Mattina Primary Care Inc Family Medicine CurrentSince Feb 15, 2025 Accepting new patients
Stella Mattina Health Inc CurrentSince Oct 1, 2024 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients

Locations

811 W Interstate 20
Ste 212
Arlington, TX 76017
Phone (214) 942-3100

1135 N Bishop Ave
Dallas, TX 75208
Phone (214) 388-8898

12201 Merit Dr
Ste 300
Dallas, TX 75251
Phone (214) 294-8989

12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1679193650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513139",
            "telephone_number": "214-294-8989",
            "fax_number": "214-294-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513139",
            "telephone_number": "214-294-8989",
            "fax_number": "214-294-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909165",
            "country_code": "US",
            "telephone_number": "214-891-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "SACHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.