Individual provider Active NPI

Sara E Delaporta, M.D.

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1104089523
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD13629 Issued in RI
Practice address
2639 S County TRL
East Greenwich, RI 02818-1727
Phone
(401) 400-2699
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 MD13629 RI Primary

Addresses

Primary practice location

2639 S County TRL
East Greenwich, RI 02818-1727

Mailing address

2639 S County TRL
East Greenwich, RI 02818-1727
Phone (401) 400-2699

Other practice location 1

18 Clark Mill St
Coventry, RI 02816-6337
Phone (860) 460-3426

Other identifiers 1

IdentifierTypeStateIssuer
SD86250MedicaidRI

Other names 1

  • Sara D Pasnau Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 30, 2023 through May 30, 2027

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1104089523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "401-400-2699",
            "fax_number": "401-406-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "401-400-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Clark Mill St",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166337",
            "country_code": "US",
            "telephone_number": "860-460-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAPORTA",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD13629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD86250",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PASNAU",
            "middle_name": "D",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.