KIMBERLY SANFORD MPAS, PA-C
NPI 1043632615
Physician Assistant - Medical in Roslyn, NY

Active since January 15, 2014PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Sanford Mpas, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SANFORD MPAS, PA-C (NPI 1043632615) is an individual medical provider in Roslyn, New York, licensed in New York (016725) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043632615
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY SANFORDCredential: MPAS, PA-C
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576
Mailing Address100 Port Washington BlvdRoslyn, NY 11576-1347 · (516) 562-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 15, 2014
Last NPPES UpdateSeptember 17, 2018
NPI 1043632615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 016725
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

Secondary Practice Locations 2

Location 1627 W 165th St, Mailbox Room 508New York, NY 10032-3790 · Phone (212) 305-0230 · Fax (212) 305-7338
Location 2100 Port Washington BlvdRoslyn, NY 11576 · Phone (516) 562-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Sanford Mpas, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244557346
PECOS Enrollment IDI20150331000254
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims16 services$63.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims15 services$33.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Sanford's NPI number?

The NPI number for Kimberly Sanford is 1043632615. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Kimberly Sanford located?

Kimberly Sanford practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Kimberly Sanford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Sanford enrolled in Medicare?

Yes. Kimberly Sanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimberly Sanford affiliated with any hospitals?

According to CMS data, Kimberly Sanford is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Kimberly Sanford was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.