Individual provider Active NPI

Sara Medsker

  • Pediatrics Physician
  • Owensboro, KY
National Provider Identifier
1932699972
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04915 Issued in KY
Practice address
2200 E Parrish Ave Ste 101B
Owensboro, KY 42303-1450
Phone
(270) 683-3232
Fax
(270) 852-1600
NPI assigned
May 15, 2018
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04915 KY Primary
Pediatrics Physician 208000000X BP10063427 TX

Addresses

Primary practice location

2200 E Parrish Ave Ste 101B
Owensboro, KY 42303-1450

Mailing address

2200 E Parrish Ave Ste 101B
Owensboro, KY 42303-1450
Phone (270) 683-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180716001817 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5496002941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04915KYMDPediatrics Physician
BP10063427TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Inc Past Accepting new patients
Owensboro Pediatrics LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smedsker111645@direct.owensborohealth.org

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1932699972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 101B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-683-3232",
            "fax_number": "270-852-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 101B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-683-3232",
            "fax_number": "270-852-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDSKER",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "04915",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10063427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.