Individual provider Active NPI

Kelly Sue Sayre, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bristol, CT
National Provider Identifier
1760895866
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
83381 Issued in CT
Practice address
33 High St
Bristol, CT 06010-5820
Phone
(860) 540-4220
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 83381 CT Primary

Addresses

Primary practice location

33 High St
Bristol, CT 06010-5820

Mailing address

33 High St
Bristol, CT 06010-5820
Phone (860) 540-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200608003145 AL Practitioner - Oral Surgery 2466767827 Reassigns benefits to 1 organization
I20200714003937 AL Practitioner - Maxillofacial Surgery 2466767827 Reassigns benefits to 1 organization
I20210527002804 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2466767827

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Oregon Health & Sciences Univ School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 6TH Ave S FL
Suite 1
Birmingham, AL 35233-2110

PO Box
Boston, MA 02241

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83381CTMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2020 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Bristol Oral Surgery & Implant Center PastSince Aug 12, 2015 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1919 7th Ave S
Ste 419
Birmingham, AL 35233

2000 6th Ave S
Fl 1
Birmingham, AL 35233
Phone (205) 613-9867

Interoperability endpoints

  • Direct secure messaging: ksayre140650@direct.bmc.masshiway.net

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.

Hospital & facility affiliations 8

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1760895866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105820",
            "telephone_number": "860-540-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HIGH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105820",
            "telephone_number": "860-540-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "83381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.