Individual provider Active NPI

Sara Nicole Klopp, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1861519225
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03993 Issued in TX
Practice address
900 E 30TH St
#205
Austin, TX 78705-3326
Phone
(512) 477-1405
Fax
(512) 477-1220
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03993 TX Primary

Addresses

Primary practice location

900 E 30TH St
#205
Austin, TX 78705-3326

Mailing address

900 E 30TH St
#205
Austin, TX 78705-3326
Phone (512) 477-1405

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
I20130828000134 TX Practitioner - Physician Assistant 9133362809 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03993TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio CurrentSince Jan 22, 2017 Accepting new patients

Locations

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1861519225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "#205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053326",
            "telephone_number": "512-477-1405",
            "fax_number": "512-477-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "#205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053326",
            "telephone_number": "512-477-1405",
            "fax_number": "512-477-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPP",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.