Individual provider Active NPI

Sara Fieger, PA

  • Physician Assistant
  • Lebanon, OH
National Provider Identifier
1235787961
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006071RX Issued in OH
Practice address
1470 N Broadway St Ste 100
Lebanon, OH 45036-1762
Phone
(513) 932-1936
Fax
(513) 932-3105
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 50.006071RX OH Primary

Addresses

Primary practice location

1470 N Broadway St Ste 100
Lebanon, OH 45036-1762

Mailing address

1470 N Broadway St Ste 100
Lebanon, OH 45036-1762
Phone (513) 932-1936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190925000906 OH Practitioner - Physician Assistant 4688904204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
89.6
Promoting interoperability
100
Improvement activities
40
Cost
72.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Physician Assistant CurrentSince Nov 9, 2023 Accepting new patients
Alliance Physicians Inc PastSince Sep 1, 2019 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1235787961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N BROADWAY ST STE 100",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361762",
            "telephone_number": "513-932-1936",
            "fax_number": "513-932-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N BROADWAY ST STE 100",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361762",
            "telephone_number": "513-932-1936",
            "fax_number": "513-932-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEGER",
        "first_name": "SARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006071RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.