Individual provider Active NPI

Saraya Yasmine Bakhsh

  • Physician Assistant
  • Waterville, NY
National Provider Identifier
1619671385
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032914 Issued in NY
Practice address
358 Madison St
Waterville, NY 13480-1116
Phone
(315) 841-4973
Fax
(315) 841-4963
NPI assigned
Mar 28, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 032914 NY Primary

Addresses

Primary practice location

358 Madison St
Waterville, NY 13480-1116

Mailing address

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 801-8848

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
I20241217000680 NY Practitioner - Physician Assistant 8527595438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

358 Madison St
Waterville, NY 13480-1116
Phone (315) 841-4973

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

358 Madison St
Waterville, NY 13480
Phone (315) 841-3222

Interoperability endpoints

  • Direct secure messaging: sbakhsh48906@mvhealthsystem.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1619671385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517",
            "telephone_number": "315-801-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 MADISON ST",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801116",
            "telephone_number": "315-841-4973",
            "fax_number": "315-841-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHSH",
        "first_name": "SARAYA",
        "middle_name": "YASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, NY

Sources for this page

Verify at the official NPI Registry.