Individual provider Active NPI

Sara Larson Clay, MD

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1073575809
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157861 Issued in MA
Practice address
275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone
(978) 452-9700
Fax
(978) 441-6075
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157861 MA Primary

Addresses

Primary practice location

275 Varnum Ave
Ste 201
Lowell, MA 01854

Mailing address

275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone (978) 452-9700

Other identifiers 1

IdentifierTypeStateIssuer
3199428MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090223000184 MA Practitioner - Internal Medicine 3971668112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Medical Group PCGroup PAC ID 5193612919, 12 clinicians

Practice addresses (Care Compare)

275 Varnum Ave
Lowell, MA 01854-2109

275 Varnum Ave
Suite 201
Lowell, MA 01854-2141
Phone (978) 452-9700

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • D'Youville Senior Care Nursing home, Lowell, MA, CCN 225515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Group PC Internal Medicine CurrentSince Aug 23, 1999 Accepting new patients
Premier Diagnostic Services, Inc PastSince Apr 30, 2023 Accepting new patients

Locations

275 Varnum Ave
Lowell, MA 01854
Phone (978) 548-4333

275 Varnum Ave
#201
Lowell, MA 01854
Phone (978) 452-9700

275 Varnum Ave
Ste 201
Lowell, MA 01854
Phone (978) 452-9700

275 Varnum Ave
Ste 101
Lowell, MA 01854
Phone (978) 459-0018

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 7

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1073575809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "SARA",
        "middle_name": "LARSON",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-01-03",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "157861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3199428",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.