Active NPI
Sara Liang Worsham, DO
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
National Provider Identifier
1023810298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 11024219A
- Practice address
- 7165 Clearvista Way
Indianapolis, IN 46256-4621 - Phone
- (317) 621-5700
- Fax
- (317) 621-7896
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11024219A | IN | Primary |
Addresses
Primary practice location
7165 Clearvista Way
Indianapolis, IN 46256-4621
Mailing address
7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone (317) 621-5700
Other practice location 1
10911 Towerbridge Rd
Highlands Ranch, CO 80130-6625
Phone (303) 506-1198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300112932 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250530000452 | IN | Order and Referring Only - Psychiatry | 8820507106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- sworsham650026@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1023810298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 CLEARVISTA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564621",
"telephone_number": "317-621-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 CLEARVISTA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564621",
"telephone_number": "317-621-5700",
"fax_number": "317-621-7896"
}
],
"practiceLocations": [
{
"address_1": "10911 Towerbridge Rd",
"address_purpose": "LOCATION",
"city": "Highlands Ranch",
"state": "CO",
"postal_code": "801306625",
"country_code": "US",
"telephone_number": "303-506-1198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORSHAM",
"first_name": "SARA",
"middle_name": "LIANG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11024219A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300112932",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.