Active NPI
Sara Jean Cobine, DO
- Family Medicine Physician
- Osawatomie, KS
National Provider Identifier
1225324924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-37582
- Practice address
- 100 E Main St
Osawatomie, KS 66064-1126 - Phone
- (913) 755-3044
- Fax
- (913) 755-3044
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-37582 | KS | Primary |
Addresses
Primary practice location
100 E Main St
Osawatomie, KS 66064-1126
Mailing address
100 E Main St
Osawatomie, KS 66064-1126
Phone (913) 755-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201102600A | Medicaid | KS |
Other names 1
- Sara Jean Sietsema
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20141031001901 | KS | Practitioner - Family Practice | 7911147095 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Miami County Medical Center Inc
Practice addresses (Care Compare)
2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327
Hospital & facility affiliations
- Faith Home Healthcare, Inc
- Miami County Medical Center
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-37582 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami County Medical Center Inc. | Family Medicine | Current | Accepting new patients |
| Miami County Medical Center Inc. | Current | Accepting new patients | |
| Miami County Medical Center Inc | Current | Accepting new patients |
Locations
100 E Main St
Osawatomie, KS 66064
Phone (913) 755-3044
2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327
Interoperability endpoints
- scobine755551@direct.kuha.org
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Paola, KS
- NPI 1700824398
-
- Rural Health Clinic/Center
- Osawatomie, KS
- NPI 1134625551
-
- Rural Health Clinic/Center
- Paola, KS
- NPI 1164928347
-
- Rural Health Clinic/Center
- Louisburg, KS
- NPI 1750887972
-
- Anesthesiology Physician
- Paola, KS
- NPI 1407603277
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Overland Park, KS
- NPI 1790169118
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1225324924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBINE",
"first_name": "SARA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-37582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201102600A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "SIETSEMA",
"middle_name": "JEAN",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Osawatomie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.