NPIMap

Individual provider Active NPI

Sarah Catherine Hryzak, D.O.

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1942704648
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS21083 Issued in FL
Practice address
13241 Bartram Park Blvd
Suite 1509
Jacksonville, FL 32258-1626
Phone
(904) 389-5333
Fax
(904) 389-5352
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS21083 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

13241 Bartram Park Blvd
Suite 1509
Jacksonville, FL 32258-1626

Mailing address

2 Shircliff Way
Suite 700 Depaul BLDG
Jacksonville, FL 32204
Phone (904) 389-5333

Other identifiers 1

IdentifierTypeStateIssuer
122753600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240813000668 FL Practitioner - Nephrology 5698119279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James D Baker III MD PAGroup PAC ID 9032011663, 19 clinicians

Practice addresses (Care Compare)

2 Shircliff Way 700 Depaul BLDG
Nephrology Associates of Northeast
Jacksonville, FL 32204-4759
Phone (904) 389-5333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Baker III, M.D., PA Nephrology CurrentSince Sep 1, 2024 Accepting new patients

Locations

2 Shircliff Way
Ste 415
Jacksonville, FL 32204
Phone (904) 389-5333

836 Prudential Dr
Ste 1502
Jacksonville, FL 32207
Phone (904) 396-5540

13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055

2 Shircliff Way
Ste 700
Jacksonville, FL 32204
Phone (904) 387-3001

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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 9

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1942704648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 700 DEPAUL BLDG",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-389-5333",
            "fax_number": "904-389-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "SUITE 1509",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581626",
            "telephone_number": "904-389-5333",
            "fax_number": "904-389-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYZAK",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS21083",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122753600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.