Individual provider Active NPI

James Thomas Sayre, MD

  • Surgery Physician
  • Bristol, CT
National Provider Identifier
1558377705
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
019565 Issued in CT
Practice address
85 Beleden Gardens Dr
Bristol, CT 06010
Phone
(860) 582-1220
Fax
(860) 582-6255
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 019565 CT Primary

Addresses

Primary practice location

85 Beleden Gardens Dr
Bristol, CT 06010

Mailing address

85 Beleden Gardens Dr
Bristol, CT 06010
Phone (860) 582-1220

Other identifiers 1

IdentifierTypeStateIssuer
001195650MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000398 CT Practitioner - General Surgery 6103723234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
11.77
Promoting interoperability
98
Improvement activities
0
Cost
73.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019565CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc Surgery CurrentSince Jul 6, 2011 Accepting new patients
Surgical Associates of Bristol PC Surgery PastSince Dec 17, 2003 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

85 Beleden Gardens Dr
Bristol, CT 06010
Phone (860) 582-1220

25 Newell Rd
Ste D28
Bristol, CT 06010
Phone (860) 582-1220

15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1558377705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-582-1220",
            "fax_number": "860-582-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-582-1220",
            "fax_number": "860-582-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "019565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001195650",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.