Individual provider Active NPI

Sarah Vartabedian

  • Nurse Practitioner
  • Fayetteville, NY
National Provider Identifier
1255920286
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
346303 Issued in NY
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

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
346303OtherNYFNP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Suny Health Science Center at SyracuseGroup PAC ID 7214833086, 210 clinicians

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 Hospital, Syracuse, NY, CCN 330241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346303NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Mar 1, 2021 Accepting new patients
North Medical PC Current Accepting new patients
Suny Health Science Center at Syracuse CurrentSince May 23, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Suny Health Science Center at Syracuse Nurse Practitioner CurrentSince May 23, 2024 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

  • Direct secure messaging: svartabedian181826@direct-guthrie.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.