Winfred Sardar, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

L6619 Issued in TX

Practice address

801 E Debbie LN Ste 103
Mansfield, TX 76063-3185

Phone

(817) 419-9048

Fax

(817) 419-3336

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Forest Park Anesthesia, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1164454336
  NPD (past) Authorized official
• Excel Anesthesia, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1548249147
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1952362824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "903-487-2248",
            "fax_number": "903-487-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DEBBIE LN STE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633185",
            "telephone_number": "817-419-9048",
            "fax_number": "817-419-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDAR",
        "first_name": "WINFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L6619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170681407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210824301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Denard Sanders Sr., CST,CFA
• Leslie Gill Sanders, LMSW-IPR
• Sandi L Hamm DDS Cosmetic & Comprehensive Dentistry PA (Sandi L Hamm)
• Naphtali Sappy
• Sara a Cantu Corp
• Phillip Andrew Saunders, D.O.
• Shoaib H Saya, M.D.
• Kelsie Scamp
• Scenic Healthcare Hospice LLC (Texas Life Hospice - Fort Worth)
• Carol Schmidt, LMT

• Pain Medicine (Anesthesiology) Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.