Individual provider Active NPI

Jessica Petro-Sakuma, D.O.

  • Hospitalist Physician
  • Salina, KS
National Provider Identifier
1295268860
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
05-42891 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone
(785) 452-7742
Fax
(785) 452-7256
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-42891 KS
Hospitalist Physician 208M00000X 05-42891 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-7742

Other identifiers 1

IdentifierTypeStateIssuer
201284300AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428001249 KS Practitioner - HospitalistPractitioner - Internal Medicine 8527498856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince May 1, 2020 Accepting new patients
McPherson Hospital, Inc. Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Family Practice Associates of McPherson, L.L.P. Current Accepting new patients
Salina Regional Health Center, Inc Hospitalist CurrentSince May 1, 2020 Accepting new patients
McPherson Hospital, Inc. Hospitalist CurrentSince May 20, 2024 Accepting new patients
McPherson Hospital, Inc. Past Accepting new patients

Locations

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Interoperability endpoints

  • Direct secure messaging: jessica.petro-sakuma@srhcdirect.com

Organizations & group practices 6

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1295268860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7742",
            "fax_number": "785-452-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7742",
            "fax_number": "785-452-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO-SAKUMA",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-42891",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "05-42891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201284300A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.