Individual provider Active NPI

Sarah Leone Blough, PA-C

  • Physician Assistant
  • Highland, MI
National Provider Identifier
1962697136
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005150 Issued in MI
Practice address
2116 S Milford Rd
Highland, MI 48357-4609
Phone
(348) 942-5888
NPI assigned
Sep 11, 2007
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005150 MI Primary

Addresses

Primary practice location

2116 S Milford Rd
Highland, MI 48357-4609

Mailing address

2116 S Milford Rd
Highland, MI 48357-4609
Phone (248) 942-5888

Other names 1

  • Sarah Leone Picarello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071016000049 MI Practitioner - Physician Assistant 9931295482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians

Practice addresses (Care Compare)

2116 S Milford Rd
Highland, MI 48357-4609
Phone (248) 942-5888

320 Town Ctr Blvd
Suite 101
White Lake, MI 48386-2183

5889 Bay Rd
Suite 106
Saginaw, MI 48604-2540
Phone (989) 301-9449

9547 Chilson CMNS
Pinckney, MI 48169-9598
Phone (248) 942-5888

9749 Dixie Hwy
Suite B
Clarkston, MI 48348-5406
Phone (248) 942-5888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005150MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Urgent Care, P. C. CurrentSince Mar 14, 2019 Accepting new patients

Locations

215 E Auburn Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

Organizations & group practices 4

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1962697136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574609",
            "telephone_number": "248-942-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574609",
            "telephone_number": "348-942-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUGH",
        "first_name": "SARAH",
        "middle_name": "LEONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PICARELLO",
            "middle_name": "LEONE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.