Individual provider Active NPI

Sara Alexandra Dunham, MD

  • Family Medicine Physician
  • Sublimity, OR
National Provider Identifier
1316477797
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD200221 Issued in OR
Practice address
114 SE Church St
Sublimity, OR 97385-9714
Phone
(503) 769-2259
Fax
(503) 769-8049
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD200221 OR Primary

Addresses

Primary practice location

114 SE Church St
Sublimity, OR 97385-9714

Mailing address

PO Box 886
Sublimity, OR 97385-0886
Phone (503) 769-2259

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.dunham.1@14369.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200714000670 OR Practitioner - Family Practice 2769819119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

114 SE Church St
Sublimity, OR 97385-9714
Phone (503) 769-2259

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200221ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Santiam Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Santiam Memorial Hospital PastSince May 25, 2021 Accepting new patients
Santiam Memorial Hospital PastSince May 25, 2021 Accepting new patients

Locations

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

Interoperability endpoints

  • Direct secure messaging: sdunham179058@secure.stcharleshealthcare.org
  • Direct secure messaging: sdunham@santiam.securechart.com

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1316477797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973850886",
            "telephone_number": "503-769-2259",
            "fax_number": "503-769-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SE CHURCH ST",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859714",
            "telephone_number": "503-769-2259",
            "fax_number": "503-769-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "SARA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD200221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.dunham.1@14369.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "114 SE Church St",
            "city": "Sublimity",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973859714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sublimity, OR

Sources for this page

Verify at the official NPI Registry.