NPIMap

Individual provider Active NPI

Stacey A Sarmiento, D.P.M.

  • Podiatrist
  • Rochester, NY
National Provider Identifier
1912902909
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005343 Issued in NY
Practice address
2211 Lyell Ave
Ste 103
Rochester, NY 14606-5743
Phone
(585) 426-4460
Fax
(585) 426-4475
NPI assigned
Jun 16, 2005
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005343 NY Primary

Addresses

Primary practice location

2211 Lyell Ave
Ste 103
Rochester, NY 14606-5743

Mailing address

2211 Lyell Ave
Ste 103
Rochester, NY 14606-5743
Phone (585) 426-4460

Other identifiers 1

IdentifierTypeStateIssuer
01799224MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000126 NY Practitioner - Podiatry 9638073059 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 Lyell Ave
Suite 103
Rochester, NY 14606-5743
Phone (585) 426-4460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of nail tissue528
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005343NYMDRegistered Dietitian
N005343NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince May 22, 2020 Accepting new patients
Rochester General Hospital CurrentSince May 22, 2020 Accepting new patients
Westside Podiatry Center LLP Podiatrist PastSince Aug 18, 2008 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1912902909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE",
            "address_2": "STE 103",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-426-4460",
            "fax_number": "585-426-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE",
            "address_2": "STE 103",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-426-4460",
            "fax_number": "585-426-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.