Active NPI
Sara Ilana Fontanez, M.D.
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 295358
- Practice address
- 1114 Liberty Ave
Brooklyn, NY 11208-2922 - Phone
- (718) 765-6058
- Fax
- (347) 808-4895
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 295358 | NY | |
| Family Medicine Physician | 207Q00000X | 87338 | WI | |
| Family Medicine Physician | 207Q00000X | 295358 | NY | Primary |
Addresses
Primary practice location
1114 Liberty Ave
Brooklyn, NY 11208-2922
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730
Other practice location 1
800 West Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940
Other practice location 2
101 Nicolls Rd
Stony Brook, NY 11794-2401
Phone (314) 448-4786
Other practice location 3
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-7441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Main St
Medford, MA 02155-4530
Phone (781) 395-4761
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
800 W Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Brigham and Women'S Hospital
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87338 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Past | Accepting new patients |
Locations
101 Main St
Ste 107
Medford, MA 02155
Phone (781) 391-4004
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
111 E 210th St
Bronx, NY 10467
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- Concord, MA
- NPI 1174545875
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1184004889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082922",
"telephone_number": "718-765-6058",
"fax_number": "347-808-4895"
}
],
"practiceLocations": [
{
"address_1": "800 West Ave S",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Nicolls Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117942401",
"country_code": "US",
"telephone_number": "314-448-4786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-7441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTANEZ",
"first_name": "SARA",
"middle_name": "ILANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "295358",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "87338",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.