Individual provider Active NPI

Sara J Mucowski, M.D.

  • Reproductive Endocrinology Physician
  • Dallas, TX
National Provider Identifier
1881885077
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
P8951 Issued in TX
Practice address
3600 Gaston Ave Ste 1001
Dallas, TX 75246-1810
Phone
(214) 423-4032
Fax
(214) 423-4031
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP1-0029070 TX
Obstetrics & Gynecology Physician 207V00000X A116178 CA
Reproductive Endocrinology Physician 207VE0102X P8951 TX Primary

Addresses

Primary practice location

3600 Gaston Ave Ste 1001
Dallas, TX 75246-1810

Mailing address

2840 Legacy Dr.
Suite 100
Frisco, TX 75034
Phone (214) 297-0020

Other identifiers 1

IdentifierTypeStateIssuer
4658084376OtherMYUTMB 4658084376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116178CAMDObstetrics & Gynecology Physician
BP1-0029070TXMDObstetrics & Gynecology Physician
P8951TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Fertility Center, LLC Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1881885077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DR.",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "214-297-0020",
            "fax_number": "214-297-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461810",
            "telephone_number": "214-423-4032",
            "fax_number": "214-423-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCOWSKI",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP1-0029070",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A116178",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "P8951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4658084376",
            "identifier": "4658084376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.