Individual provider Active NPI

Sara Emslie Sultz, MD

  • Pediatrics Physician
  • Belton, TX
National Provider Identifier
1760649974
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P9467 Issued in TX
Practice address
1009 Arbor Park
Belton, TX 76513-8196
Phone
(254) 831-2100
Fax
(254) 831-2101
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26246 NE
Pediatrics Physician 208000000X P9467 TX Primary

Addresses

Primary practice location

1009 Arbor Park
Belton, TX 76513-8196

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 831-2100

Other identifiers 1

IdentifierTypeStateIssuer
3438319-01MedicaidTX

Other names 1

  • Sara Jane Emslie Former name

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
I20200710000281 TX Practitioner - Nephrology 4486077336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26246NEMDPediatrics Physician
P9467TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Round Table Physicians Group PLLC Current Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

11103 Westheimer Rd
#C
Houston, TX 77042

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

Organizations & group practices 2

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1760649974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-831-2100",
            "fax_number": "254-831-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ARBOR PARK",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138196",
            "telephone_number": "254-831-2100",
            "fax_number": "254-831-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTZ",
        "first_name": "SARA",
        "middle_name": "EMSLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "26246",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3438319-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "EMSLIE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.