Active NPI
Sara King-Sella, MD
- Cornea and External Diseases Specialist Physician
- Boston, MA
National Provider Identifier
1417505082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- 281071
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5400 - Phone
- (617) 667-3397
- Fax
- (617) 667-7092
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cornea and External Diseases Specialist Physician | 207WX0120X | 281071 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
172 Fuller St
Brookline, MA 02446-5795
Phone (617) 510-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6175105123 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Boston | Health Information Exchange (HIE) | Beth Israel Deaconess Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281071 | MA | MD | Cornea and External Diseases Specialist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1417505082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 FULLER ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465795",
"telephone_number": "617-510-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-3397",
"fax_number": "617-667-7092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-SELLA",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "MA",
"license": "281071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6175105123",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Boston",
"affiliation": "Y",
"endpointDescription": "Clinic adress",
"affiliationName": "Beth Israel Deaconess Medical Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Ophthalmology clinic",
"address_1": "330 Brookline Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "022155400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.