Individual provider Active NPI

Irina S Sanberg, RPAC

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1952353492
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005820 Issued in NY
Practice address
101 Canal Landing Blvd
Suite 8
Rochester, NY 14626-5109
Phone
(585) 239-7300
Fax
(585) 227-7723
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 005820 NY Primary

Addresses

Primary practice location

101 Canal Landing Blvd
Suite 8
Rochester, NY 14626-5109

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040108000407 NY Practitioner - Physician Assistant 5193624187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 239-7300

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

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

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5820NYMDClinical Psychologist
005820NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 1, 2011 Accepting new patients
Western New York Medical Practice PC CurrentSince Jan 1, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 1, 2011 Accepting new patients

Locations

201 Frey St
Newark, NY 14513
Phone (315) 331-4344

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600

101 Canal Landing Blvd
Ste 8
Rochester, NY 14626
Phone (585) 239-7300

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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

1815 S Clinton Ave
Bldg 300
Rochester, NY 14618
Phone (585) 241-3210

505 Mount Hope Ave
Rochester, NY 14620
Phone (585) 353-7678

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: inovozhenets161574@direct.rochesterregional.org

Organizations & group practices 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1952353492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-3122",
            "fax_number": "585-922-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANAL LANDING BLVD",
            "address_2": "SUITE 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265109",
            "telephone_number": "585-239-7300",
            "fax_number": "585-227-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBERG",
        "first_name": "IRINA",
        "middle_name": "S",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.