Edward Tracy Sall, MD,DDS

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

181365 Issued in NY

Practice address

4000 Medical Center Dr.
Ste 404
Fayetteville, NY 13066

Phone

(315) 234-9865

NPI assigned

Nov 30, 2005

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA, AZ, CO4 enrollments

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 4

Specialty

Sleep Medicine

Education

State University of Ny Upstate Medical University, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

SD Diagnostics IncGroup PAC ID 3870723950, 6 clinicians

Goto SleepGroup PAC ID 8527324615, 6 clinicians

Advanced ENT Physicians and Surgeons of Cny PCGroup PAC ID 9436233848, 2 clinicians

Sleep Center of Littleton PCGroup PAC ID 9234569823, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.98 of 100Reported as individual

Quality

89.95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: esallaent@apasoc-ny.direct.office.nextgen.com

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.

• SD Diagnostics Inc

  dba BetterNight Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • San Diego, CA
  • NPI 1003252834

  Sleep Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Edward Sall Dental Corporation

  dba SleepAlliance, an Edward Sall Dental Practice

  • Customized Equipment (DME)
  • San Diego, CA
  • NPI 1053859710
  Medicare reassignment NPD Authorized official
• Goto Sleep

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1083141329
  Medicare reassignment Care Compare group NPD
• Sleep Center of Littleton PC

  • Sleep Medicine (Otolaryngology) Physician
  • Highlands Ranch, CO
  • NPI 1306405543
  Medicare reassignment Care Compare group NPD
• Advanced ENT Physicians & Surgeons of Cny PC

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1891827663
  Medicare reassignment Care Compare group
• Betternight Medical Group PA

  • Sleep Disorder Diagnostic Clinic/Center
  • San Diego, CA
  • NPI 1417435207
  NPD Authorized official
• SD Diagnostics Inc

  dba BetterNight Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • White Plains, NY
  • NPI 1487192779
  Authorized official Same address or phone
• SD Diagnostics Inc

  dba BetterNight Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1144909680
  Authorized official Same address or phone
• Goto Sleep

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1316602527
  NPD
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD (past)
• Genesee Valley Group Health Association

  dba Lifetime Health Medical Group

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1962591875
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1710961198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231143",
            "telephone_number": "866-801-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR.",
            "address_2": "STE 404",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-234-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5471 Kearny Villa Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231151",
            "country_code": "US",
            "telephone_number": "619-299-6299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "623-299-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALL",
        "first_name": "EDWARD",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "MD,DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104553",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NY",
            "license": "181365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochele Royster, ATR-BC
• Renee Anne Ryan, M.D.
• John James Sacco, M.D.
• Sage Marriage and Family Therapy, PLLC
• Sall Sleep Medicine PLLC (Stop Snoring Sleep Better)
• Samuel B Pearlstein
• Bernard Schneider, MD
• Jayme K Schreck, NP
• Adam C Schwartz, LMHC
• Mara Schwartz, DC

• Otolaryngology Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.