KELLY M SADOWSKI (PA-C) – Medical Physician Assistant, NPI 1013047711

KELLY M SADOWSKI (PA-C) is a healthcare provider. based in Toledo, Ohio. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 50-002192 (OH). The NPI Number for KELLY M SADOWSKI (PA-C) is 1013047711

Main info

Female
Sole Proprietor
Name
KELLY M SADOWSKI (PA-C)
NPI
1013047711
Phone
Not provided
Address
2200 JEFFERSON AVE FL 5
Enumeration Date
6 March 2007
Last Update Date
2 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KELLY M SADOWSKI (PA-C)

  • 2200 JEFFERSON AVE FL 5

    TOLEDO, OH 436047102

    Phone:

    Type: Mailing

  • 3232 NAVARRE AVE

    OREGON, OH 436163312

    Phone: (419) 691-0636

    Type: Location

  • 329 N WEST ST

    LIMA, OH 458014331

    Phone: (419) 221-3072

    Type: Mailing

  • 301 MORRISON DR

    TOLEDO, OH 436052124

    Phone: (567) 218-0770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041201000416IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43604)

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Reviews

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Frequently asked questions

Is there an official ID for KELLY M SADOWSKI (PA-C) in U.S. healthcare records?
The official identifier for KELLY M SADOWSKI (PA-C) is NPI 1013047711.
Would KELLY M SADOWSKI (PA-C) appear as active to a payer?
You can treat KELLY M SADOWSKI (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KELLY M SADOWSKI (PA-C)'s focus?
For KELLY M SADOWSKI (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KELLY M SADOWSKI (PA-C) located near Toledo?
KELLY M SADOWSKI (PA-C) currently maps to Toledo, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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