Individual provider Active NPI

Sana Ahmad Din, MD

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1356881817
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD471664 Issued in PA
Practice address
120 Hobart St
Residency Program
Utica, NY 13501-4308
Phone
(315) 801-1149
Fax
(315) 801-3565
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3640 Concord Pike
Suite 1033
Wilmington, DE 19803-5022

Hospital & facility affiliations

  • Acacia Certified Home Care Co Home health agency, Utica, NY, CCN 337423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL, GA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20201028000538 PA Practitioner - Family Practice 0749690097 Reassigns benefits to 1 organization
I20251205001590 IL Practitioner - Internal Medicine 0749690097 Reassigns benefits to 1 organization
I20251205002213 GA Practitioner - Internal Medicine 0749690097 Reassigns benefits to 1 organization
I20260108000986 NC Practitioner - Internal Medicine 0749690097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD471664PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyla Health Inc CurrentSince Nov 24, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Nov 16, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Nov 16, 2020 Accepting new patients

Locations

3640 Concord Pike
Wilmington, DE 19803
Phone (301) 337-8294

1010 Lake St
Oak Park, IL 60301
Phone (708) 970-7512

128 S Tryon St
Charlotte, NC 28202
Phone (704) 709-5688

430 N Main St
Spring Grove, PA 17362
Phone (717) 225-4884

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD471664 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

120 Hobart St
Residency Program
Utica, NY 13501-4308

Mailing address

430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 851-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2020.

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1356881817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MAIN ST",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621123",
            "telephone_number": "717-851-6500",
            "fax_number": "717-755-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOBART ST",
            "address_2": "RESIDENCY PROGRAM",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014308",
            "telephone_number": "315-801-1149",
            "fax_number": "315-801-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD DIN",
        "first_name": "SANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD471664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.