Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Evans Sangenito, PA

Individual provider Surgical Physician Assistant · NPI 1285234377

Mr. Michael Evans Sangenito, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2020, 6 years ago. Practices with Michael H Boothby, MD, PA, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2901 Acme Brick Plz
Fort Worth, TX 76109-4124
Phone: (817) 423-2329
Fax: (817) 423-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14072 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA14072 (TX)

Record details

NPI number1285234377
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Michael H Boothby, Md, Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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