Individual provider Active NPI

Sara Nusinovic

  • Dermatology Physician
  • Sugarloaf, PA
National Provider Identifier
1366978983
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
SC007075 Issued in PA
Practice address
8 Brookhill Square South
Sugarloaf, PA 18249-1824
Phone
(570) 459-0029
Fax
(570) 454-5757
NPI assigned
May 2, 2017
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X SC007075 PA Primary
Podiatrist 213E00000X 0103301349 VA
Foot & Ankle Surgery Podiatrist 213ES0103X SC007075 PA

Addresses

Primary practice location

8 Brookhill Square South
Sugarloaf, PA 18249-1824

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Other practice location 1

5325 Northgate Drive
Ste 205
Bethlehem, PA 18017-9416
Phone (610) 936-8050

Other practice location 2

1310 Route 209
Ste 105
Gilbert, PA 18331-7751
Phone (570) 664-6220

Other practice location 3

3812 Market Street
Camp Hill, PA 17011
Phone (717) 869-0928

Other practice location 4

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9000

Other practice location 5

940 Century Drive
Ste A
Mechanicsburg, PA 17055-4376
Phone (717) 458-5407

Other practice location 6

38 Keystone Court
Leola, PA 17540-2207
Phone (717) 869-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, VA, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210518000374 PA Practitioner - PodiatryPractitioner - Dermatology 5698044337 Reassigns benefits to 1 organization
I20220509002530 DC Practitioner - Podiatry 5698044337 Reassigns benefits to 1 organization
I20220526002902 VA Practitioner - Podiatry 5698044337 Reassigns benefits to 3 organizations
I20220719002191 MD Practitioner - Podiatry 5698044337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical VA PLLCGroup PAC ID 3072916907, 4 clinicians

Practice addresses (Care Compare)

10701 Main St
Fairfax, VA 22030-6904
Phone (212) 764-0008

831 E Ellerslie Ave
Colonial Heights, VA 23834-1720
Phone (212) 764-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue745
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Podiatry PLLC Podiatrist CurrentSince Feb 14, 2023 Accepting new patients
Eastern Podiatry PLLC Podiatrist CurrentSince Feb 14, 2023 Accepting new patients
Pedirite Medical VA PLLC CurrentSince Mar 20, 2022 Accepting new patients
Pedirite Medical PA PLLC Podiatrist CurrentSince Aug 1, 2021 Accepting new patients
Hillside Foot and Ankle Associates LLC Podiatrist Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1366978983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491824",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Northgate Drive",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180179416",
            "country_code": "US",
            "telephone_number": "610-936-8050",
            "fax_number": "610-936-8051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Route 209",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "PA",
            "postal_code": "183317751",
            "country_code": "US",
            "telephone_number": "570-664-6220",
            "fax_number": "570-664-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3812 Market Street",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "17011",
            "country_code": "US",
            "telephone_number": "717-869-0928",
            "fax_number": "717-296-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Century Drive",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554376",
            "country_code": "US",
            "telephone_number": "717-458-5407",
            "fax_number": "717-620-8298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Keystone Court",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175402207",
            "country_code": "US",
            "telephone_number": "717-869-0919",
            "fax_number": "717-869-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSINOVIC",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "SC007075",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301349",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarloaf, PA

Sources for this page

Verify at the official NPI Registry.