DR. SARA B PENTLICKY MD
NPI 1740456649
Obstetrics & Gynecology in Philadelphia, PA

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD STE 3, PHILADELPHIA, PA 19141(215) 456-7180(215) 456-7052 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sara B Pentlicky Md NPPES

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

DR. SARA B PENTLICKY MD (NPI 1740456649) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD440124) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2002).

NPPES Registry Identity

NPI1740456649
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SARA B PENTLICKYCredential: MD
Location Address5501 OLD YORK RD STE 3Philadelphia, PA 19141-3018
Mailing Address807 N 20th StPhiladelphia, PA 19130-2005 · (215) 806-6329
Fax(215) 456-7052
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2002
Enumeration DateMay 1, 2008
Last NPPES UpdateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1740456649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · MD440124✔ Licensed in WA · MD60388725✔ Licensed in KY · R1330
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5501 OLD YORK RD STE 3, Philadelphia, PA 19141

Secondary Practice Location 1

Location 12001 E Madison StSeattle, WA 98122-2959 · Phone (800) 769-0045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sara B Pentlicky Md 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 ID840323465
PECOS Enrollment IDI20100803001174
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Pentlicky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Toxicology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
Psychologist
707 HADDONFIELD BERLIN RD
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Kennedy Medical Group Practice, P.C.
  • 438 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Midwife
5501 OLD YORK RD STE 3
PHILADELPHIA, PA 19141
Obstetrics & Gynecology (Gynecologic Oncology)
5501 OLD YORK RD STE 3
PHILADELPHIA, PA 19141
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5501 OLD YORK RD STE 3
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD STE 3, DEPARTMENT OF PEDIATRICS
PHILADELPHIA, PA 19141
Obstetrics & Gynecology
5501 OLD YORK RD STE 3
PHILADELPHIA, PA 19141
Physician Assistant
5501 OLD YORK RD STE 3
PHILADELPHIA, PA 19141

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 Sara Pentlicky's NPI number?

The NPI number for Sara Pentlicky is 1740456649. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Sara Pentlicky located?

Sara Pentlicky practices at 5501 Old York Rd Ste 3, Philadelphia, PA 19141. The listed phone number is (215) 456-7180.

What is Sara Pentlicky's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sara Pentlicky enrolled in Medicare?

Yes. Sara Pentlicky 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.

Which organizations bill Medicare for Sara Pentlicky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Pentlicky reassigns Medicare benefits to 2 organizations: Einstein Practice Plan, Inc (Philadelphia, PA) and Kennedy Medical Group P.C. (Voorhees, NJ). Each 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 Sara Pentlicky'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 Sara Pentlicky was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.