Individual provider Active NPI

Sara Davidovich, DPM

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1467089631
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007331 Issued in NY
Practice address
Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214
Phone
(716) 862-1475
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 007331 NY Primary

Addresses

Primary practice location

Sisters of Charity Hospital
2157 Main Street
Buffalo, NY 14214

Mailing address

244 Bay Tree Dr
Miramar Beach, FL 32550-7842

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615002732 NY Practitioner - Podiatry 4981062452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2121 Main St
Suite 215
Buffalo, NY 14214-2693
Phone (716) 995-7789

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2950 Elmwood Ave
Kenmore, NY 14217-1304

301 Connecticut St
Buffalo, NY 14213-2541
Phone (716) 862-2572

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026

7300 Porter Rd
Niagara Falls, NY 14304-5716
Phone (716) 298-5886

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions20
Removal of nail tissue116
Removal or shaving of skin growth33
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007331NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Podiatrist CurrentSince Jul 1, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 21, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 21, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Aug 31, 2024 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jul 1, 2023 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Apr 21, 2024 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

301 Connecticut St
Buffalo, NY 14213
Phone (716) 862-2572

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

2121 Main St
Ste 214
Buffalo, NY 14214
Phone (716) 400-8602

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 10

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 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1467089631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BAY TREE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SISTERS OF CHARITY HOSPITAL",
            "address_2": "2157 MAIN STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14214",
            "telephone_number": "716-862-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICH",
        "first_name": "SARA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.