Active NPI
Sarah Broadbear, PA-C
- Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 032704
- Practice address
- 1415 Portland Ave Ste 225
Rochester, NY 14621-3039 - Phone
- (585) 922-2900
- NPI assigned
- Jun 12, 2024
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 032704 | NY | Primary |
| Medical Physician Assistant | 363AM0700X | 032704 | NY | |
| Surgical Physician Assistant | 363AS0400X | 032704 | NY |
Addresses
Primary practice location
1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
8103 Oak Orchard Rd
Batavia, NY 14020-1092
Phone (585) 922-2900
Other practice location 2
1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 922-2900
Other practice location 3
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-2900
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
Enrollment records 1
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
Practice addresses (Care Compare)
1415 Portland Ave
Suite 190
Rochester, NY 14621-3039
Phone (585) 336-5000
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
1561 Long Pond Rd
Suite 220
Rochester, NY 14626-4135
Phone (585) 383-8830
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032704 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice, P.C. | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients |
Locations
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- sbroadbear586643@direct.urmc.rochester.edu
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
dba Strong Memorial Hospital-University of Rochester
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- General Practice Physician
- Geneva, NY
- NPI 1326446485
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1740022599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 225",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213039",
"telephone_number": "585-922-2900"
}
],
"practiceLocations": [
{
"address_1": "8103 Oak Orchard Rd",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "NY",
"postal_code": "140201092",
"country_code": "US",
"telephone_number": "585-922-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1555 Long Pond Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264164",
"country_code": "US",
"telephone_number": "585-922-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213011",
"country_code": "US",
"telephone_number": "585-922-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADBEAR",
"first_name": "SARAH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "032704",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "032704",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "032704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.