Individual provider Active NPI

Jacob Michael Sondergaard, PA

  • Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1740861707
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14747 Issued in TX
Practice address
2028 Sundance Pkwy
New Braunfels, TX 78130-2750
Phone
(830) 609-1933
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA14747 TX Primary

Addresses

Primary practice location

2028 Sundance Pkwy
New Braunfels, TX 78130-2750

Mailing address

19718 Glenfinch LN
Spring, TX 77379-6052
Phone (281) 871-8442

Other practice location 1

811 Central Dr Ste 200
Odessa, TX 79761-4201
Phone (432) 888-7655

Other practice location 2

300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 376-9690

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922003520 TX Practitioner - Physician Assistant 1850798554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Apr 21, 2025 Accepting new patients
Ascension Seton CurrentSince Aug 15, 2021 Accepting new patients
Ascension Seton CurrentSince Aug 15, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Past Accepting new patients

Locations

300 S Colorado St
Lockhart, TX 78644
Phone (512) 367-9690

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • Direct secure messaging: jacob.sondergaard.1@8363.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1740861707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19718 GLENFINCH LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796052",
            "telephone_number": "281-871-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 SUNDANCE PKWY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302750",
            "telephone_number": "830-609-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Central Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614201",
            "country_code": "US",
            "telephone_number": "432-888-7655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Colorado St",
            "address_purpose": "LOCATION",
            "city": "Lockhart",
            "state": "TX",
            "postal_code": "786442700",
            "country_code": "US",
            "telephone_number": "512-376-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONDERGAARD",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.