NPIMap

Individual provider Active NPI

Sophia Smithbauer, DO

  • Family Medicine Physician
  • Saint Marys, PA
National Provider Identifier
1679222558
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS024512 Issued in PA
Practice address
1100 Million Dollar Hwy
Saint Marys, PA 15857-2728
Phone
(814) 781-6758
Fax
(814) 834-1038
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS024512 PA Primary

Addresses

Primary practice location

1100 Million Dollar Hwy
Saint Marys, PA 15857-2728

Mailing address

1100 Million Dollar Hwy
Saint Marys, PA 15857-2728
Phone (814) 781-6758

Other names 1

  • Sophia Yanak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021003918 PA Practitioner - Family Practice 7618359498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1100 Million Dollar Hwy
Saint Marys, PA 15857-2728
Phone (814) 781-3316

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS024512PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Family Medicine CurrentSince Aug 9, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 9, 2025 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1100 Million Dollar Hwy
Fl 3
Saint Marys, PA 15857
Phone (814) 781-6758

1100 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 781-5435

Organizations & group practices 3

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1679222558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MILLION DOLLAR HWY",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572728",
            "telephone_number": "814-781-6758",
            "fax_number": "814-834-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MILLION DOLLAR HWY",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572728",
            "telephone_number": "814-781-6758",
            "fax_number": "814-834-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHBAUER",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS024512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "YANAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.