Individual provider Active NPI

Sara Milchgrub, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1699744144
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
H5930 Issued in TX
Practice address
1801 Royal LN Ste 810
Dallas, TX 75229-3169
Phone
(936) 564-6002
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X H5930 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H5930 TX Primary

Addresses

Primary practice location

1801 Royal LN Ste 810
Dallas, TX 75229-3169

Mailing address

PO Box 840127
Dallas, TX 75284-0127
Phone (214) 648-1620

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 648-1620

Other practice location 2

1801 Royal Ln Ste 805
Dallas, TX 75229-7521
Phone (469) 886-4700

Other practice location 3

1801 Royal Ln Ste 800
Dallas, TX 75229-3199
Phone (214) 886-4700

Other identifiers 1

IdentifierTypeStateIssuer
102300402MedicaidTX

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
I20100329000158 TX Practitioner - Pathology 2567598667 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5930TXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2021 Accepting new patients
Gulf Coast Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2021 Accepting new patients
Gulf Coast Pathology Associates PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Apollo Path, LLC Past Accepting new patients

Locations

1801 Royal Ln
Ste 810
Dallas, TX 75229
Phone (469) 886-4700

1801 Royal Ln
Ste 805
Dallas, TX 75229
Phone (214) 871-8639

2525 W Bellfort Ave
Ste 194
Houston, TX 77054
Phone (281) 661-1573

6720 Bertner Ave
#4
Houston, TX 77030
Phone (832) 355-2942

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1699744144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840127",
            "telephone_number": "214-648-1620",
            "fax_number": "214-648-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROYAL LN STE 810",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293169",
            "telephone_number": "936-564-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907208",
            "country_code": "US",
            "telephone_number": "214-648-1620",
            "fax_number": "214-648-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Royal Ln Ste 805",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752297521",
            "country_code": "US",
            "telephone_number": "469-886-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Royal Ln Ste 800",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752293199",
            "country_code": "US",
            "telephone_number": "214-886-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILCHGRUB",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "H5930",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H5930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102300402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.