Individual provider Active NPI

Sarah Y Noorbaksh, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Harrisburg, PA
National Provider Identifier
1346393550
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD425475 Issued in PA
Practice address
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone
(717) 231-8508
Fax
(717) 231-8535
NPI assigned
Jan 19, 2007
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD425475 PA Primary

Addresses

Primary practice location

4000 Linglestown Rd
Harrisburg, PA 17112-1017

Mailing address

4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508

Other identifiers 1

IdentifierTypeStateIssuer
101232254MedicaidPA

Other names 1

  • Sarah Y Yazdi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snoorbaksh5930@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050418000119 PA Practitioner - Hospice/Palliative CarePractitioner - Family Practice 5496792863 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65433TXMDPharmacist
MD425475PAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 7, 2014 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 7, 2014 Accepting new patients
Pinnacle Health Medical Services Hospice and Palliative Medicine Current Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Capitol Operator LLC Past Accepting new patients

Locations

205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867

100 Mount Allen Dr
Mechanicsburg, PA 17055
Phone (717) 697-4666

Organizations & group practices 7

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1346393550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121017",
            "telephone_number": "717-231-8508",
            "fax_number": "717-231-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121017",
            "telephone_number": "717-231-8508",
            "fax_number": "717-231-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORBAKSH",
        "first_name": "SARAH",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD425475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101232254",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snoorbaksh5930@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4000 Linglestown Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171121017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "YAZDI",
            "middle_name": "Y",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.