Individual provider Active NPI

Sabrina Alex Salomon, PA-C

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1235263450
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10424 Issued in GA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-3452
Fax
(508) 334-7284
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10424 GA Primary
Physician Assistant 363A00000X PA9196 MA
Medical Physician Assistant 363AM0700X 10003275A IN
Physician Assistant 363A00000X PA9103255 FL
Medical Physician Assistant 363AM0700X 015151 NY

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

2415 N Orange Ave Ste 700
Orlando, FL 32804-5521
Phone (407) 303-2474

Other practice location 1

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9358

Other practice location 2

2415 N Orange Ave Ste 700
Orlando, FL 32804-5521
Phone (407) 303-2474

Other practice location 3

10590 N Meridian St # 105
Carmel, IN 46290-1028
Phone (317) 583-7800

Other identifiers 2

IdentifierTypeStateIssuer
03510198MedicaidNY
OD117OtherFLFL HF MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, PA, GA, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050816000621 FL Practitioner - Physician Assistant 1658301080 Reassigns benefits to 1 organization
I20121211000042 NY Practitioner - Physician Assistant 1658301080 Reassigns benefits to 1 organization
I20221228000547 PA Practitioner - Physician Assistant 1658301080 Reassigns benefits to 1 organization
I20240430002444 GA Practitioner - Physician Assistant 1658301080 Reassigns benefits to 2 organizations
I20251118001979 IN Practitioner - Physician Assistant 1658301080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

7910 W Jefferson Blvd
Suite 102
Fort Wayne, IN 46804-4159
Phone (260) 436-2424

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003275AINMDMedical Physician Assistant
015151NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 3, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 21, 2025 Accepting new patients
St. Vincent Medical Group, Inc. Physician Assistant CurrentSince Aug 21, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2023 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

10590 N Meridian St
#105
Carmel, IN 46290
Phone (317) 583-5400

10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1235263450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045521",
            "telephone_number": "407-303-2474",
            "fax_number": "407-303-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3452",
            "fax_number": "508-334-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8745 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329405997",
            "country_code": "US",
            "telephone_number": "321-434-9358",
            "fax_number": "321-434-8229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 N Orange Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045521",
            "country_code": "US",
            "telephone_number": "407-303-2474",
            "fax_number": "407-303-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10590 N Meridian St # 105",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901028",
            "country_code": "US",
            "telephone_number": "317-583-7800",
            "fax_number": "317-583-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "SABRINA",
        "middle_name": "ALEX",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10424",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9196",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10003275A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103255",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03510198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "OD117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.