NPIMap

Individual provider Active NPI

Sara M Gosselin, M.D.

  • Gastroenterology Physician
  • Liverpool, NY
National Provider Identifier
1326001538
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
240233 Issued in NY
Practice address
5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868
Phone
(315) 452-3235
Fax
(315) 452-5726
NPI assigned
Apr 10, 2006
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD073503L PA
Gastroenterology Physician 207RG0100X 240233 NY Primary

Addresses

Primary practice location

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868

Mailing address

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868
Phone (315) 452-3235

Other identifiers 1

IdentifierTypeStateIssuer
001833986MedicaidPA

Other names 1

  • Dr. Sara Howe Mitchell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000298 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 1658344635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians

Practice addresses (Care Compare)

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4866
Phone (315) 452-3235

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy335
Upper gastrointestinal (GI) endoscopy for acid reflux328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073503LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC Gastroenterology CurrentSince Sep 1, 2007 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2024 Accepting new patients
North Medical PC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5700 W Genesee St
Ste 211
Camillus, NY 13031
Phone (315) 410-6400

5000 Brittonfield Pkwy
Ste A120
East Syracuse, NY 13057
Phone (315) 446-4400

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Interoperability endpoints

  • Direct secure messaging: mitchells@hiemail.healtheconnections.org
  • Direct secure messaging: sgosselin2387178@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1326001538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-3235",
            "fax_number": "315-452-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-3235",
            "fax_number": "315-452-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD073503L",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "240233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001833986",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MITCHELL",
            "middle_name": "HOWE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.