Active NPI
Sara Bouraee, DPM
- Foot & Ankle Surgery Podiatrist
- Hampton, VA
National Provider Identifier
1285823401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301022
- Practice address
- 3000 Coliseum Dr
Suite 205
Hampton, VA 23666-5963 - Phone
- (757) 224-7605
- Fax
- (757) 251-6236
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005847 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301022 | VA | Primary |
Addresses
Primary practice location
3000 Coliseum Dr
Suite 205
Hampton, VA 23666-5963
Mailing address
1155 Professional Dr
Williamsburg, VA 23185-3329
Phone (757) 220-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000517 | VA | Practitioner - Podiatry | 3476641358 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2114 Hartford Rd
Suite a
Hampton, VA 23666-2409
Phone (757) 224-7605
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
- Riverside Regional Medical Center
- Riverside Doctors' Hospital of Williamsburg
- Sentara Careplex Hospital
- Mary Immaculate Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 39 |
| Removal of skin lesions | 116 |
| Removal of nail tissue | 367 |
| Removal or shaving of skin growth | 277 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005847 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Bouraee, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Sara Bouraee, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Management of Virginia | Foot & Ankle Surgery | Current | Accepting new patients |
| Smith Medical PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
255 S 17th St
Ste 300
Philadelphia, PA 19103
Phone (215) 735-8504
7584 Hospital Dr
#202
Gloucester, VA 23061
Phone (804) 693-4645
2114 Hartford Rd
#A
Hampton, VA 23666
Phone (757) 220-3311
3000 Coliseum Dr
Ste 205
Hampton, VA 23666
Phone (757) 224-7605
1155 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-3311
Organizations & group practices 4
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.
-
- Podiatrist
- Williamsburg, VA
- NPI 1942479662
-
- Foot & Ankle Surgery Podiatrist
- Williamsburg, VA
- NPI 1245989920
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1134261407
Foot & Ankle Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1285823401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 PROFESSIONAL DR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853329",
"telephone_number": "757-220-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLISEUM DR",
"address_2": "SUITE 205",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665963",
"telephone_number": "757-224-7605",
"fax_number": "757-251-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURAEE",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005847",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.