Sara Supriyatno, DDS
NPI 1225775778 · Student in an Organized Health Care Education/Training Program · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sara Supriyatno, DDS is a Student in an Organized Health Care Education/Training Program provider in Philadelphia, PA (NPI 1225775778).
Provider details
- NPI number
- 1225775778
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DS043687 (PA)
Specialties & taxonomies
Student, Health Care
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Sara Supriyatno's NPI number?
- Sara Supriyatno's National Provider Identifier (NPI) is 1225775778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sara Supriyatno's specialty?
- Sara Supriyatno is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Sara Supriyatno located?
- Sara Supriyatno's practice location on file with NPPES is 909 Walnut St Rm 300, Philadelphia, PA 19107-5211.
- What is Sara Supriyatno's phone number?
- The practice phone number listed in the NPPES registry for Sara Supriyatno is (215) 503-7118.
- Does Sara Supriyatno accept Medicare?
- Sara Supriyatno is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sara Supriyatno's NPI active?
- Yes — Sara Supriyatno's NPI (1225775778) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.