Individual provider Active NPI

Sarah Stano

  • Dermatology Physician
  • Bellevue, WA
National Provider Identifier
1740742592
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
61591814 Issued in WA
Practice address
1414 116TH Ave NE Ste E
Bellevue, WA 98004-3801
Phone
(425) 753-2918
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 312306 NY
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 61591814 WA Primary

Addresses

Primary practice location

1414 116TH Ave NE Ste E
Bellevue, WA 98004-3801

Mailing address

1414 116TH Ave NE Ste E
Bellevue, WA 98004-3801

Other practice location 1

4422 Third Ave
Department of dermatology
Bronx, NY 10457-2594
Phone (718) 960-9000

Other practice location 2

4500 Parsons Blvd
Flushing, NY 11355-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240816003566 NY Practitioner - Dermatology 5698213940 Reassigns benefits to 1 organization
I20250106003923 WA Practitioner - Dermatology 5698213940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Arts PLLCGroup PAC ID 5597985317, 7 clinicians

Practice addresses (Care Compare)

1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801
Phone (425) 753-2918

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions193
Removal or shaving of skin growth1-10
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312306NYMDLicensed Practical Nurse
61591814WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Arts, PLLC Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Derm Specs of PA PLLC Dermatology CurrentSince Jul 9, 2024 Accepting new patients

Locations

1027 46th Ave
Fl 1
Long Island City, NY 11101

1414 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 454-5311

3040 78th Ave SE
Unit 958
Mercer Island, WA 98040

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1740742592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE STE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE STE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "425-753-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 Third Ave",
            "address_2": "Department of dermatology",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572594",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANO",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "312306",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "61591814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.