SARA PODSHIVAYLOV
NPI 1811522360
Speech-Language Pathologist in Waconia, MN

Q: What is Sara Podshivaylov's NPI number?

The NPI number for Sara Podshivaylov is 1811522360. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Sara Podshivaylov's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Podshivaylov was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 05, 2020Accepts Medicare Assignment

9346 OAK AVE, WACONIA, MN 55387(952) 223-2506 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Nov 2, 2021, Mar 5, 2020 (3 updates tracked since 2020).

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About Sara Podshivaylov NPPES

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

SARA PODSHIVAYLOV (NPI 1811522360) is an individual speech-language pathologist provider in Waconia, Minnesota and active in the NPI registry since March 2020. She maintains a secondary practice location in Minnetonka and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811522360

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSARA PODSHIVAYLOV

Location Address9346 OAK AVEWaconia, MN 55387-9422

Mailing Address10273 Yellow Circle DrMinnetonka, MN 55343-9144

Phone(952) 223-2506

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 5, 2020

Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1811522360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

9346 OAK AVE, Waconia, MN 55387

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Secondary Practice Location 1

Location 110273 Yellow Circle DrMinnetonka, MN 55343-9144 · Phone (952) 401-9359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Sara Podshivaylov 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 ID4789093261

PECOS Enrollment IDI20210513001291

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.

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