Individual provider Active NPI

Stephanie Sari, M.D.

  • Pediatrics Physician
  • Missoula, MT
National Provider Identifier
1326241241
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MED-PHYS-LIC-140983 Issued in MT
Practice address
900 N Orange St Ste 303
Missoula, MT 59802-2956
Phone
(406) 327-7337
Fax
(406) 327-7373
NPI assigned
Jun 7, 2007
Last updated
Apr 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 84202 OR
Pediatrics Physician 208000000X MED-PHYS-LIC-140983 MT Primary

Addresses

Primary practice location

900 N Orange St Ste 303
Missoula, MT 59802-2956

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110
Phone (406) 327-7337

Other practice location 1

24988 SE Stark St Ste 200
Gresham, OR 97030-8324
Phone (503) 667-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20241204000974 MT Practitioner - Pediatric Medicine 7113140633 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-140983MTMDPediatrics Physician
84202ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Jan 13, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt Pediatrics CurrentSince Jan 13, 2025 Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802

900 N Orange St
Ste 303
Missoula, MT 59802
Phone (406) 327-7337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1326241241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104110",
            "telephone_number": "406-327-7337",
            "fax_number": "406-327-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST STE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022956",
            "telephone_number": "406-327-7337",
            "fax_number": "406-327-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24988 SE Stark St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970308324",
            "country_code": "US",
            "telephone_number": "503-667-8878",
            "fax_number": "503-667-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARI",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "84202",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-140983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.