Individual provider Active NPI

Sarah A. Bozeman, D.O.

  • Allergy & Immunology Physician
  • Somerset, KY
National Provider Identifier
1295932366
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
03375 Issued in KY
Practice address
971 South Highway 27
Somerset, KY 42003
Phone
(606) 451-0239
Fax
(855) 656-7325
NPI assigned
Jun 30, 2007
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 03375 KY Primary

Addresses

Primary practice location

971 South Highway 27
Somerset, KY 42003

Mailing address

9800 Shelbyville Rd
Suite #220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 4

IdentifierTypeStateIssuer
50034391OtherKYPASSPORT
7100172180MedicaidKY
000000726124OtherANTHEM
P01049647OtherKYMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sarah.Bozeman.familyallergyasthma@FAA.meditab.direct-ci.com PSF PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20111003000449 KY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2567634249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

971S Hwy 27
Somerset, KY 42501-3518
Phone (606) 451-0239

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03375KYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Aug 29, 2011 Accepting new patients

Locations

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

971 S Highway 27
Somerset, KY 42501
Phone (606) 451-0239

Interoperability endpoints

  • Direct secure messaging: sarah.bozeman.familyallergyasthma@faa.meditab.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1295932366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "SUITE #220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 SOUTH HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "606-451-0239",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEMAN",
        "first_name": "SARAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-30",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "03375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50034391",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172180",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000726124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01049647",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sarah.Bozeman.familyallergyasthma@FAA.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "PSF PLLC",
            "address_1": "9800 Shelbyville RD",
            "address_2": "STE 220",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.