Individual provider Active NPI

Sara Buquicchio, PA-C

  • Medical Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1912705278
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8950 Dr M.L.K. Jr St N
Unit 102
Saint Petersburg, FL 33702
Phone
(727) 498-8898
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

8950 Dr M.L.K. Jr St N
Unit 102
Saint Petersburg, FL 33702

Mailing address

1400 Gandy Blvd N Unit 811
Saint Petersburg, FL 33702-2125
Phone (386) 334-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250506001164 FL Practitioner - Physician Assistant 8325565146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Outside the Box PastSince Mar 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cardiothoracicsurgeryofhydepark.sarabuquicchio@149057.advancedmd-direct.com

Organizations & group practices 2

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1912705278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GANDY BLVD N UNIT 811",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022125",
            "telephone_number": "386-334-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR M.L.K. JR ST N",
            "address_2": "UNIT 102",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-498-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUQUICCHIO",
        "first_name": "SARA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.