Individual provider Active NPI

Sarah Carol Fiallo, MD

  • Family Medicine Physician
  • Westport, CT
National Provider Identifier
1780189092
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69293 Issued in CT
Practice address
20 Elm St
Westport, CT 06880-3305
Phone
(888) 663-6331
Fax
(203) 604-1053
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 312916 NY
Family Medicine Physician 207Q00000X 69293 CT Primary

Addresses

Primary practice location

20 Elm St
Westport, CT 06880-3305

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

327 Riverside Ave
Westport, CT 06880-4821
Phone (032) 221-3030

Other practice location 2

1790 Broadway Ste 1802
New York, NY 10019-1471
Phone (212) 530-0624

Other names 1

  • Dr. Sarah Carol Lall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20210812001189 CT Practitioner - Internal Medicine 7113321142 Reassigns benefits to 2 organizations
I20230822000178 NY Practitioner - Family Practice 7113321142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC One Medical, LLCGroup PAC ID 8820444060, 7 clinicians

Practice addresses (Care Compare)

104 Heights Rd
Suite R103
Darien, CT 06820-4119
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69293CTMDFamily Medicine Physician
312916NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 13, 2021 Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
HHC One Medical, LLC Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Mount Sinai School of Medicine PastSince Sep 1, 2023 Accepting new patients

Locations

104 Heights Rd
Ste R103
Darien, CT 06820

104 Heights Rd
#R103
Darien, CT 06820

22 Pine St
New Canaan, CT 06840

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

20 Elm St
Westport, CT 06880

327 Riverside Ave
Westport, CT 06880
Phone (203) 221-3030

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

5 Columbus Cir
Ste 1802
New York, NY 10019
Phone (212) 530-0624

1790 Broadway
Ste 1802
New York, NY 10019
Phone (212) 530-0621

Organizations & group practices 4

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1780189092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803305",
            "telephone_number": "888-663-6331",
            "fax_number": "203-604-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068804821",
            "country_code": "US",
            "telephone_number": "032-221-3030",
            "fax_number": "203-221-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 Broadway Ste 1802",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191471",
            "country_code": "US",
            "telephone_number": "212-530-0624",
            "fax_number": "212-867-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIALLO",
        "first_name": "SARAH",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "312916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "69293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "LALL",
            "middle_name": "CAROL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.