Sandra Peyton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K3392 Issued in TX

Practice address

546 E Sandy Lake Rd Ste 210
Coppell, TX 75019-5786

Phone

(469) 671-3337

Fax

(469) 671-3338

NPI assigned

Sep 25, 2006

Sex

Female

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 4

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

State licenses

Practice roles

Locations

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.

• City Hospital Physician Group Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1548892714

  Family Medicine

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Ipa ER Group PLLC

  • Emergency Medicine Physician
  • Trophy Club, TX
  • NPI 1588488571

  Family Medicine

  Medicare reassignment NPD
• Brownwood Specialty Group, PA

  dba Brownwood Specialty Group

  • Nurse Practitioner
  • Brownwood, TX
  • NPI 1487696688

  Family Medicine

  NPD (past)
• Central Group Inc

  • Specialist
  • Dallas, TX
  • NPI 1821181694
  NPD (past)
• James M Zodrow MD PA

  • Adult Medicine Physician
  • Plano, TX
  • NPI 1225344302
  NPD (past)
• Central Seniors Inc

  • Preferred Provider Organization
  • Indianapolis, IN
  • NPI 1013029321
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1952401358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD STE 210",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195786",
            "telephone_number": "469-671-3337",
            "fax_number": "469-671-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD STE 210",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195786",
            "telephone_number": "469-671-3337",
            "fax_number": "469-671-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047125202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "K3392",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047125203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047125204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Perini, D.C.
• Alexis K Perreira
• Erin Nicole Perry, NP
• James Swanberg Peterson, DDS
• George Rodney Petry, M.D.
• Jaquelynn Kimhac Pham, DPT
• Pharmacy Plus, Inc. (Pharmacy Plus #7)
• Josephine Gray Phillips, DPT
• Russell Phillips, D.O.
• Phoenix ER Docs LLC (Phoenix ER Docs)

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.