Individual provider Active NPI

Sara Childress Fallon, M.D.

  • Pediatric Surgery Physician
  • Houston, TX
National Provider Identifier
1972834349
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
Q0044 Issued in TX
Practice address
1 Baylor PLZ
Houston, TX 77030-3411
Phone
(713) 205-3125
NPI assigned
Jan 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10034423 TX
Pediatric Surgery Physician 2086S0120X 1972834349 MT
Pediatric Surgery Physician 2086S0120X Q0044 TX Primary

Addresses

Primary practice location

1 Baylor PLZ
Houston, TX 77030-3411

Mailing address

1 Baylor PLZ
Houston, TX 77030-3411

Other practice location 1

1287 Burns Way
Kalispell, MT 59901-3109
Phone (713) 205-3125

Other practice location 2

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone (844) 215-7969

Other names 1

  • Sara Creager Childress Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

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
I20180827001206 TX Practitioner - General SurgeryPractitioner - General PracticePractitioner - Pediatric Medicine 4880943752 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034423TXMDSurgery Physician
1972834349MTMDPediatric Surgery Physician
Q0044TXMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Pediatric Specialty Group PLLC CurrentSince Sep 28, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2018 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Nov 3, 2021 Accepting new patients
Texas Children'S Physician Group CurrentSince Jul 24, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

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

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

21208 Northwest Fwy
Ste 100
Cypress, TX 77429
Phone (281) 312-4838

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

7400 Fannin St
Ste 1250
Houston, TX 77054
Phone (713) 796-7600

7400 Fannin St
Ste 1130
Houston, TX 77054
Phone (713) 794-0200

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7900 Fannin St
Ste 3700
Houston, TX 77054
Phone (713) 795-5160

1330 Kingwood Dr
Kingwood, TX 77339
Phone (281) 358-0623

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

16552 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 242-0767

1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588

450 W Medical Center Blvd
Ste 600B
Webster, TX 77598
Phone (281) 316-0046

Organizations & group practices 5

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": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972834349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-205-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 Burns Way",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013109",
            "country_code": "US",
            "telephone_number": "713-205-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Conway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013153",
            "country_code": "US",
            "telephone_number": "844-215-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "SARA",
        "middle_name": "CHILDRESS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10034423",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "1972834349",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "Q0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "202 Conway Dr Ste 200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CHILDRESS",
            "middle_name": "CREAGER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.