Individual provider Active NPI

Yekaterina Sarbib, P.A.

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1164509998
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011556 Issued in NY
Practice address
264 Washington Avenue Ext Ste 201
Albany, NY 12203-6352
Phone
(518) 452-1928
Fax
(518) 362-1348
NPI assigned
Nov 1, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 011556 NY Primary

Addresses

Primary practice location

264 Washington Avenue Ext Ste 201
Albany, NY 12203-6352

Mailing address

264 Washington Avenue Ext Ste 201
Albany, NY 12203-6352
Phone (518) 452-1928

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000305 NY Practitioner - Physician Assistant 9830272061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Specialists of the Capital Region, PLLCGroup PAC ID 5597741371, 12 clinicians

Practice addresses (Care Compare)

2 Executive Park Dr
Albany, NY 12203-3700
Phone (518) 452-1928

264 Washington Ave Ext
Suite 201
Albany, NY 12203-6352
Phone (518) 452-1928

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
97.72
Improvement activities
40
Cost
76.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011556NYMDSpeech-Language Pathologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1164509998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 WASHINGTON AVENUE EXT STE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122036352",
            "telephone_number": "518-452-1928",
            "fax_number": "518-362-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 WASHINGTON AVENUE EXT STE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122036352",
            "telephone_number": "518-452-1928",
            "fax_number": "518-362-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBIB",
        "first_name": "YEKATERINA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.