Active NPI
Sarina Marie Bevilacqua, DO
- Family Medicine Physician
- Slingerlands, NY
National Provider Identifier
1144843202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 321291
- Practice address
- 1882 New Scotland Rd Ste 200
Slingerlands, NY 12159-3627 - Phone
- (518) 439-2460
- Fax
- (518) 439-3025
- NPI assigned
- May 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 321291 | NY | Primary |
Addresses
Primary practice location
1882 New Scotland Rd Ste 200
Slingerlands, NY 12159-3627
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230814000679 | NY | Practitioner - Family Practice | 4385006022 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321291 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Family Medicine | Current | Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
1882 New Scotland Rd
Ste 200
Slingerlands, NY 12159
Phone (518) 439-2460
Interoperability endpoints
- sarinabevilacqua@ccp.allscriptsdirect.net
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Family Medicine, NY
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Care Physicians PLLC
Practice addresses (Care Compare)
1882 New Scotland Rd
Suite 200
Slingerlands, NY 12159-3627
Phone (518) 439-2460
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Community Hospice, Inc, the
- St Peter'S Hospital
- Albany Medical Center Hospital
- Sunnyview Hospital and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1144843202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1882 NEW SCOTLAND RD STE 200",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121593627",
"telephone_number": "518-439-2460",
"fax_number": "518-439-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVILACQUA",
"first_name": "SARINA",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-24",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "321291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slingerlands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.