Active NPI
Sara Elizabeth Berdos, AUD
- Audiologist
- Worcester, MA
National Provider Identifier
1104482157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4756
- Practice address
- 281 Lincoln St Ste 253
Worcester, MA 01605-2138 - Phone
- (508) 334-8726
- Fax
- (508) 334-8751
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4756 | MA | Primary |
Addresses
Primary practice location
281 Lincoln St Ste 253
Worcester, MA 01605-2138
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other names 1
- Sara Elizabeth Chaffee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4756 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Current | Accepting new patients |
Locations
281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015
281 Lincoln St
Ste 253
Worcester, MA 01605
Phone (508) 334-8726
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
Organizations & group practices 4
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.
-
- Psychiatric Hospital Unit
- Worcester, MA
- NPI 1689760092
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- General Acute Care Hospital
- Marlborough, MA
- NPI 1396738159
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1104482157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 LINCOLN ST STE 253",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052138",
"telephone_number": "508-334-8726",
"fax_number": "508-334-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDOS",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "4756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "CHAFFEE",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.