Individual provider Active NPI

Sandra Herrera, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1902124001
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q0455 Issued in TX
Practice address
12200 Renfert Way Ste G-3
Austin, TX 78758
Phone
(512) 821-2540
NPI assigned
May 13, 2010
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q0455 TX
Maternal & Fetal Medicine Physician 207VM0101X Q0455 TX Primary

Addresses

Primary practice location

12200 Renfert Way Ste G-3
Austin, TX 78758

Mailing address

12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone (512) 821-2540

Other practice location 1

1583 E Common St Ste 111
New Braunfels, TX 78130
Phone (830) 629-2826

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
I20141027002410 TX Practitioner - Obstetrics/Gynecology 0244451763 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Specialized Women's Services, PLLC Maternal & Fetal Medicine CurrentSince Aug 14, 2017 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Sep 19, 2014 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12200 Renfert Way
Ste G-3
Austin, TX 78758

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1401 Medical Pkwy
Ste 150
Cedar Park, TX 78613
Phone (512) 901-4002

1401 Medical Pkwy
Ste 408
Cedar Park, TX 78613

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1583 E Common St
Ste 111
New Braunfels, TX 78130
Phone (830) 629-2826

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Interoperability endpoints

  • Direct secure messaging: 2347-herrera-sandra@direct.leadingreach.com
  • Direct secure messaging: sandra.herrera@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1902124001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-821-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 E Common St Ste 111",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "78130",
            "country_code": "US",
            "telephone_number": "830-629-2826",
            "fax_number": "830-629-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q0455",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q0455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.