Individual provider Active NPI

Sara Elizabeth Hargreaves, MD

  • Vascular Surgery Physician
  • Lincoln, NE
National Provider Identifier
1013141076
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
29654 Issued in NE
Practice address
1500 S 48TH St
Ste 400
Lincoln, NE 68506-1276
Phone
(402) 481-8500
Fax
(402) 481-8501
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 29654 NE Primary

Addresses

Primary practice location

1500 S 48TH St
Ste 400
Lincoln, NE 68506-1276

Mailing address

1600 So 48TH St
Ste 600
Lincoln, NE 68506-1274
Phone (402) 483-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000825 MO Practitioner - Vascular Surgery 7719266964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

12266 De Paul Dr
Suite 305
Bridgeton, MO 63044-2514
Phone (314) 770-0991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince May 1, 2022 Accepting new patients
SSM Medical Group, Inc. CurrentSince May 1, 2022 Accepting new patients
SSM Health Care St. Louis Vascular Surgery Past Accepting new patients

Locations

12266 De Paul Dr
Ste 305
Bridgeton, MO 63044
Phone (314) 770-0991

330 1st Capitol Dr
Ste 100A
Saint Charles, MO 63301
Phone (636) 669-2332

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Interoperability endpoints

  • Direct secure messaging: shargreaves423517@direct-ehr-ssmhc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1013141076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SO 48TH ST",
            "address_2": "STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061274",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061276",
            "telephone_number": "402-481-8500",
            "fax_number": "402-481-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGREAVES",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NE",
            "license": "29654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.