Individual provider Active NPI

Sarah Broadbear, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1740022599
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032704 Issued in NY
Practice address
1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Phone
(585) 922-2900
NPI assigned
Jun 12, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120001446 NY Practitioner - Physician Assistant 7315472982 Reassigns benefits to 4 organizations

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
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

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

LicenseStateTypeSpecialty
032704NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 21, 2024 Accepting new patients
Rochester General Hospital CurrentSince Oct 21, 2024 Accepting new patients
Rochester General Hospital CurrentSince Oct 21, 2024 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Oct 21, 2024 Accepting new patients
University of Rochester CurrentSince Jan 6, 2026 Accepting new patients
University of Rochester CurrentSince Jan 6, 2026 Accepting new patients
United Memorial Medical Center CurrentSince Oct 21, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.