NPIMap

Individual provider Active NPI

Sara Bransford Blair, M.D.

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1093072597
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-9669 Issued in AR
Practice address
904 Autumn Rd Ste 200
Little Rock, AR 72211-3741
Phone
(501) 227-6363
NPI assigned
Apr 20, 2012
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-9669 AR Primary
Pediatrics Physician 208000000X E-9669 AR

Addresses

Primary practice location

904 Autumn Rd Ste 200
Little Rock, AR 72211-3741

Mailing address

904 Autumn Rd Ste 200
Little Rock, AR 72211-3741
Phone (501) 227-6363

Other identifiers 1

IdentifierTypeStateIssuer
214696001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715000205 AR Practitioner - Pediatric Medicine 1951627736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Arkansas College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Autumn Road Family Practice, P.a,Group PAC ID 1153458625, 7 clinicians

Practice addresses (Care Compare)

904 Autumn Rd
Suite 200
Little Rock, AR 72211-3741
Phone (501) 227-6363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2016 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2016 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Current Accepting new patients
Autumn Road Family Practice, P.a, CurrentSince Sep 1, 2020 Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

904 Autumn Rd
Ste 200
Little Rock, AR 72211
Phone (501) 227-6363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22025/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sara.blair.1@22025.direct.athenahealth.com

Organizations & group practices 4

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1093072597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113741",
            "telephone_number": "501-227-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113741",
            "telephone_number": "501-227-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SARA",
        "middle_name": "BRANSFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-9669",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-9669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214696001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.