Individual provider Active NPI

Sarah H Spillman, DO

  • Family Medicine Physician
  • Kenmore, NY
National Provider Identifier
1033343173
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
257205 Issued in NY
Practice address
2780 Delaware Ave
Suite 201
Kenmore, NY 14217-2740
Phone
(716) 839-8000
Fax
(716) 844-8009
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 257205 NY Primary

Addresses

Primary practice location

2780 Delaware Ave
Suite 201
Kenmore, NY 14217-2740

Mailing address

2780 Delaware Ave
Suite 201
Kenmore, NY 14217-2740
Phone (716) 839-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101130001164 NY Practitioner - Family Practice 9638365836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

2780 Delaware Ave
Kenmore, NY 14217-2748
Phone (716) 839-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Western New York LLP Family Medicine CurrentSince Oct 4, 2010 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients

Locations

2780 Delaware Ave
Ste 201
Kenmore, NY 14217
Phone (716) 839-8000

30 N Union Rd
Ste 102
Williamsville, NY 14221
Phone (716) 839-8000

30 N Union Rd
Williamsville, NY 14221
Phone (716) 633-6363

Interoperability endpoints

  • Direct secure messaging: sarahs@primarycarewny.medentdirect.com

Organizations & group practices 2

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 10

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1033343173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 DELAWARE AVE",
            "address_2": "SUITE 201",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172740",
            "telephone_number": "716-839-8000",
            "fax_number": "716-844-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 DELAWARE AVE",
            "address_2": "SUITE 201",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172740",
            "telephone_number": "716-839-8000",
            "fax_number": "716-844-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "SARAH",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.