Individual provider Active NPI

Sarah Elizabeth Boucher, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1982805339
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0554 Issued in TX
Practice address
4700 Alliance Blvd
Suite 400
Plano, TX 75093-5323
Phone
(469) 814-6631
Fax
(469) 814-3110
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101241159 VA
Internal Medicine Physician 207R00000X P0554 TX Primary

Addresses

Primary practice location

4700 Alliance Blvd
Suite 400
Plano, TX 75093-5323

Mailing address

4700 Alliance Blvd
Suite 400
Plano, TX 75093-5323
Phone (469) 814-6631

Other identifiers 1

IdentifierTypeStateIssuer
2859027-02MedicaidTX

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
I20111128000171 TX Practitioner - Internal Medicine 7911171160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101241159VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Burnet PLLC Internal Medicine CurrentSince Jul 24, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 8, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 8, 2018 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1982805339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "469-814-6631",
            "fax_number": "469-814-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "469-814-6631",
            "fax_number": "469-814-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241159",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2859027-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.