SKYLER GRAY SABETPOUR RDN
NPI 1255130191
Dietitian, Registered in Camillus, NY
About Skyler Gray Sabetpour Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLER GRAY SABETPOUR RDN (NPI 1255130191) is an individual dietitian, registered in Camillus, New York, licensed in Maryland (DX6167) and active in the NPI registry since March 2025. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skyler Gray Sabetpour Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Skyler Sabetpour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camillus, NY 13031
- Reassigned Medicare billing, New York enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Skyler Sabetpour's NPI number?
The NPI number for Skyler Sabetpour is 1255130191. It was assigned to this individual provider in the NPPES registry on March 12, 2025.
Where is Skyler Sabetpour located?
Skyler Sabetpour practices at 5100 W Genesee St, Camillus, NY 13031. The listed phone number is (315) 401-0590.
What is Skyler Sabetpour's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Skyler Sabetpour enrolled in Medicare?
Yes. Skyler Sabetpour is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Skyler Sabetpour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Skyler Sabetpour reassigns Medicare benefits to Sarah Lynn Nutrition (Camillus, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Skyler Sabetpour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Skyler Sabetpour was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Skyler Gray Sabetpour, RDN · NPI 1255130191
Dietitian, Registered provider in Camillus, New York. Individual provider, active in the CMS NPPES registry since March 12, 2025.
## Identity
- **NPI:** 1255130191 (Entity type: Individual)
- **Enumerated:** March 12, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DX6167 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5100 W GENESEE ST, Camillus, NY 13031-2354
- **Phone:** (315) 401-0590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sarah Lynn Nutrition (NPI 1730851346, Camillus, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1255130191) · Data from the CMS NPPES public registry.