Individual provider Active NPI

Sarah A. Landis, P.A.

  • Physician Assistant
  • Dublin, OH
National Provider Identifier
1073581443
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50002415 Issued in OH
Practice address
650 Shawan Falls Dr
Dublin, OH 43017-2100
Phone
(614) 764-1711
Fax
(614) 889-2652
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002415 OH Primary

Addresses

Primary practice location

650 Shawan Falls Dr
Dublin, OH 43017-2100

Mailing address

650 Shawan Falls Dr
Dublin, OH 43017-2100
Phone (614) 764-1711

Other identifiers 2

IdentifierTypeStateIssuer
50002415OtherOHSTATE LICENSE
1351OtherOHRR MEDICARE GRP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060613000014 OH Practitioner - Physician Assistant 3678585627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

650 Shawan Falls Dr
Suite 105
Dublin, OH 43017-2100
Phone (614) 764-1711

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
75.48
Improvement activities
40
Cost
59.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50002415OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Ambulatory Surgery Center LLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

650 Shawan Falls Dr
Ste 105
Dublin, OH 43017
Phone (614) 764-1711

650 Shawan Falls Dr
Dublin, OH 43017
Phone (614) 764-1711

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1073581443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "SARAH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "50002415",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP ID",
            "identifier": "1351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.