Individual provider Active NPI

Sara F Kenamore, M.D.

  • Pediatrics Physician
  • Hartsdale, NY
National Provider Identifier
1336220979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
212213 Issued in NY
Practice address
99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone
(914) 428-2120
Fax
(914) 428-1989
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 212213 NY Primary

Addresses

Primary practice location

99 Fieldstone Dr
Hartsdale, NY 10530-1564

Mailing address

99 Fieldstone Dr
Hartsdale, NY 10530-1564
Phone (914) 428-2120

Other identifiers 11

IdentifierTypeStateIssuer
02220868MedicaidNY
2449043OtherNYAETNA HMO
2C6918OtherNYHEALTH NET
7205126OtherNYAETNA PPO
15247OtherNYHEALTH SOURCE
132625705OtherNYEMPIRE PLAN
132625705OtherNYUNITED
3768299002OtherNYCIGNA
P2076447OtherNMOXFORD
0B4031OtherNYEMPIRE BCBS
132625705OtherNMPOMCO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000548 NY Practitioner - Pediatric Medicine 5890165054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212213NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. Pediatrics CurrentSince Sep 1, 2022 Accepting new patients
The Westchester Medical Group PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

99 Fieldstone Dr
Hartsdale, NY 10530
Phone (914) 428-2120

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: skenamore@hiemail.healtheconnections.org
  • Direct secure messaging: sara.kenamore.1@21260.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336220979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564",
            "telephone_number": "914-428-2120",
            "fax_number": "914-428-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564",
            "telephone_number": "914-428-2120",
            "fax_number": "914-428-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENAMORE",
        "first_name": "SARA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "212213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02220868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2449043",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C6918",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7205126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SOURCE",
            "identifier": "15247",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN",
            "identifier": "132625705",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "132625705",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3768299002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2076447",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "0B4031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "132625705",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.