Individual provider Active NPI

Sabrina Santana, PA-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1457986366
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007595 Issued in IL
Practice address
40 George Karl Blvd
Williamsville, NY 14221-7183
Phone
(716) 218-1000
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026823 NY
Physician Assistant 363A00000X 085.007595 IL Primary

Addresses

Primary practice location

40 George Karl Blvd
Williamsville, NY 14221-7183

Mailing address

1685 Hertel Ave Apt 201a
Buffalo, NY 14216-2918

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811002463 NY Practitioner - Physician Assistant 8921421892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460

40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 218-1000

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026823NYMDPhysical Therapist
085.007595ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 30, 2021 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 30, 2021 Accepting new patients
MN Imaging Center PastSince Jul 25, 2019 Accepting new patients
General Physician, PC Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888

Interoperability endpoints

  • Direct secure messaging: ssantana@ubns.medentdirect.com

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1457986366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 HERTEL AVE APT 201A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.