Olusayo Sarah Akinboboye, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00000 Issued in NY

Practice address

1561 Long Pond Rd
Rochester, NY 14626-4117

Phone

(585) 723-7650

Fax

(585) 723-7651

NPI assigned

Jun 18, 2019

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenmore Mercy HospitalGroup PAC ID 7517870462, 54 clinicians

Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oakinboboye266194@direct.rochesterregional.org

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.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment Care Compare group NPD
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment Care Compare group
• Mount St. Mary's Hospital of Niagara Falls

  dba Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment NPD
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment NPD
• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment
• Kenmore Mercy Hospital

  • Rehabilitation Hospital Unit
  • Kenmore, NY
  • NPI 1164436283
  NPD
• Kenmore Mercy Hospital

  dba Kenmore Mercy Professional Services

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1659909752
  NPD
• Mercy Hospital of Buffalo

  • Rehabilitation Hospital Unit
  • Buffalo, NY
  • NPI 1659310605
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• Rochester General Hospital

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1861568594
  NPD
• Western New York Medical Practice, P.C.

  dba Rochester Regional Health Eye Care

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1891467486
  NPD
• Kenmore Mercy Hospital

  dba Kenmore Specialty Center

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1083655492
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1992365316",
    "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": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-7650",
            "fax_number": "585-723-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Portland Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213039",
            "country_code": "US",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINBOBOYE",
        "first_name": "OLUSAYO",
        "middle_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oakinboboye266194@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave Ste 225",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priyanshi Akbari, PT
• Muhammad Hamza Akhtar, MD
• Wasim Akhtar, M.D.
• Jacky Zahedha Akhter, MD
• Kristen Erin Akin
• Sorita Y Akinpelu
• Toshio Akiyama, MD
• Sajal Medha Krishna Akkipeddi, MD
• Ihab Akladious, M.D.
• Fatma Akmese, M.D.

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.