Individual provider Active NPI

Sarah E Clarke, RPA

  • Surgical Physician Assistant
  • Schenectady, NY
National Provider Identifier
1053563882
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
012671-1 Issued in NY
Practice address
500 State St
Schenectady, NY 12305-2414
Phone
(518) 489-2663
Fax
(518) 689-3881
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 012671-1 NY Primary

Addresses

Primary practice location

500 State St
Schenectady, NY 12305-2414

Mailing address

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Other identifiers 2

IdentifierTypeStateIssuer
012671OtherNYNY LICENSE
05009370MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000805 NY Practitioner - Physician Assistant 3870654775 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Promoting interoperability
75
Improvement activities
40
Cost
88.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012671NYMDPhysical Therapist
012671-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Nov 1, 2022 Accepting new patients
Albany Medical College CurrentSince Apr 25, 2022 Accepting new patients
Albany Medical College CurrentSince Apr 25, 2022 Accepting new patients
Albany Medical College CurrentSince Jun 22, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Orthopedicsny, LLP CurrentSince Nov 1, 2022 Accepting new patients

Locations

121 Everett Rd
Ste 100
Albany, NY 12205
Phone 5184539088 ext. 3239

1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

121 Everett Rd
Colonie, NY 12205

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

500 State St
Schenectady, NY 12305
Phone (518) 798-0767

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: sclarke952950@direct.trinity-health.org
  • Direct secure messaging: sclarke@orthony.emadirect.md

Organizations & group practices 7

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1053563882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052414",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "012671-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "012671",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05009370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.