Individual provider Active NPI

Sarah Stombaugh, MD

  • Obesity Medicine (Family Medicine) Physician
  • Charlottesville, VA
National Provider Identifier
1285016410
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
0101272187 Issued in VA
Practice address
423 8TH St NE
Charlottesville, VA 22902-4727
Phone
(434) 201-8271
Fax
(434) 900-1016
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 036146344 IL
Obesity Medicine (Family Medicine) Physician 207QB0002X 0101272187 VA Primary

Addresses

Primary practice location

423 8TH St NE
Charlottesville, VA 22902-4727

Mailing address

423 8TH St NE
Charlottesville, VA 22902-4727
Phone (434) 201-8271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 1, 2023 through Dec 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272187VAMDObesity Medicine (Family Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: sarah.stombaugh@646664197832708.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1285016410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 8TH ST NE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024727",
            "telephone_number": "434-201-8271",
            "fax_number": "434-900-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 8TH ST NE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024727",
            "telephone_number": "434-201-8271",
            "fax_number": "434-900-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMBAUGH",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-08-29",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036146344",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101272187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.