Individual provider Active NPI

Sara Jurado, MD

  • Dermatology Physician
  • Evansville, IN
National Provider Identifier
1891960993
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01076313A Issued in IN
Practice address
3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111
Phone
(812) 485-4200
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD445372 PA
MOHS-Micrographic Surgery Physician 207ND0101X 01076313A IN
MOHS-Micrographic Surgery Physician 207ND0101X MD445372 PA
Procedural Dermatology Physician 207NS0135X MD445372 PA
Dermatology Physician 207N00000X 01076313A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111

Mailing address

3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111

Other identifiers 2

IdentifierTypeStateIssuer
1027566320001MedicaidPA
002713263OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.jurado.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002442 IN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2961670443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Toledo Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Suite 120
Evansville, IN 47714-0111
Phone (812) 485-4200

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions437
Removal of skin cancer322
Removal or shaving of skin growth35
Skin biopsy157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Feb 1, 2016 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Feb 1, 2016 Accepting new patients
St. Mary'S Health, Inc Past Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3801 Bellemeade Ave
Ste 120
Evansville, IN 47714
Phone (812) 485-4200

14020 Old State Rd
Ste C501
Evansville, IN 47725
Phone (812) 469-4745

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Interoperability endpoints

  • Direct secure messaging: sara.jurado.1@7598.direct.athenahealth.com

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 1

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1891960993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 120",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 120",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111",
            "telephone_number": "812-485-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD445372",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01076313A",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD445372",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD445372",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01076313A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027566320001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "002713263",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.jurado.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 120",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.