Kris Dillingham Sardella, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009094

Practice address

720 Hoosick Rd
Troy, NY 12180-6673

Phone

(518) 687-9779

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ksardella788064@direct.trinity-health.org

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.

• Saratoga Schenectady Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Burnt Hills, NY
  • NPI 1093724767
  Medicare reassignment
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248

  Physician Assistant

  NPD (past)
• Albany Medical College

  • Anesthesiology Physician
  • Albany, NY
  • NPI 1841226594

  Physician Assistant

  NPD (past)
• Cardiology Associates of Schenectady, P.C.

  • Cardiovascular Disease Physician
  • Schenectady, NY
  • NPI 1427002419
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1720054984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806673",
            "telephone_number": "518-687-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S Manning Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081743",
            "country_code": "US",
            "telephone_number": "518-525-5208",
            "fax_number": "518-525-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDELLA",
        "first_name": "KRIS",
        "middle_name": "DILLINGHAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "009094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625969",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "720 Hoosick Rd",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121806673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Lynne Sanderson, PT
• Fabiana Maria Santelises Robledo, MD
• Kristen Anne Santos, DO
• Rebecca Jo Giel Santosuosso, MHC-LP
• Vincent Thomas Saracco, D.D.S.
• Danielle Marie Sardon
• Tara Sarfraz, D.D.S.
• Augusto Sarmiento, DMD
• Caitlyn Renee Sartori, FNP-BC
• Erica Lynn Sauter

• Physician Assistant in Troy, NY
• Providers in Troy, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.