Active NPI
Sarah Vartabedian
- Nurse Practitioner
- Fayetteville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 346303
- Practice address
- 4101 Medical Center Dr # 101D
Fayetteville, NY 13066-6600 - Phone
- (315) 637-7878
- NPI assigned
- Jan 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 346303 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 346303 | NY |
Addresses
Primary practice location
4101 Medical Center Dr # 101D
Fayetteville, NY 13066-6600
Mailing address
4100 Medical Center Dr
Fayetteville, NY 13066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346303 | Other | NY | FNP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210225001217 | NY | Practitioner - Nurse Practitioner | 3779998752 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346303 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical PC | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Nurse Practitioner | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
4077 West Rd
Cortland, NY 13045
Phone (607) 753-9977
4101 Medical Center Dr
#101D
Fayetteville, NY 13066
Phone (315) 637-7878
4101 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7878
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
4900 Broad Rd
Ste 2G
Syracuse, NY 13215
Phone (315) 299-5313
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- svartabedian181826@direct-guthrie.org
- sveaudry35638@direct.upstate.edu
Organizations & group practices 7
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
- Syracuse, NY
- NPI 1184974529
Nurse Practitioner, NY
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1255920286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MEDICAL CENTER DR",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "13066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 MEDICAL CENTER DR # 101D",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130666600",
"telephone_number": "315-637-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARTABEDIAN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-05-20",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "346303",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "346303",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "346303",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.