Individual provider Active NPI

Sara Elizabeth Gardner, RPA

  • Surgical Physician Assistant
  • Albany, NY
National Provider Identifier
1508011149
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
P68141 Issued in NY
Practice address
1367 Washington Ave Ste 200
Albany, NY 12206-1048
Phone
(518) 489-2666
Fax
(518) 489-5933
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X P68141 NY Primary

Addresses

Primary practice location

1367 Washington Ave Ste 200
Albany, NY 12206-1048

Mailing address

68 Quaker Rd
Queensbury, NY 12804-1711
Phone (518) 793-5601

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
I20090526000107 NY Practitioner - Physician Assistant 7214086180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

115 Saratoga Rd
Suite 110
Glenville, NY 12302-4210
Phone (518) 264-2900

11835 RT
9W
West Coxsackie, NY 12192-3605
Phone (518) 264-4600

1400 Altamont Ave
Schenectady, NY 12303-2909
Phone (518) 264-4600

1769 Union St
Niskayuna, NY 12309-6311
Phone (518) 264-4733

329 Glenmont Rd
Glenmont, NY 12077-3469
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084-9112
Phone (518) 264-4600

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P68141NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 22, 2023 Accepting new patients
Albany Medical College CurrentSince Apr 22, 2023 Accepting new patients
Albany Medical College CurrentSince Apr 22, 2023 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: sgardner33784@albanymed.direct-ci.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 5

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1508011149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 QUAKER RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041711",
            "telephone_number": "518-793-5601",
            "fax_number": "518-793-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061048",
            "telephone_number": "518-489-2666",
            "fax_number": "518-489-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "P68141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.