Sara M Sholar, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1998 Issued in NE

Practice address

1000 Pole Creek Xing
Sidney, NE 69162

Phone

(308) 254-5825

NPI assigned

Jun 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cheyenne County Hospital Association Inc

  • Rural Health Clinic/Center
  • Sidney, NE
  • NPI 1437421229

  Corporate Director

  CMS ownership
• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Medicare reassignment Care Compare group NPD
• Cheyenne County Hospital Association

  • Specialty Pharmacy
  • Sidney, NE
  • NPI 1558077396
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Care Compare affiliation

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1336529247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "69162",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044712",
            "country_code": "US",
            "telephone_number": "904-308-7372",
            "fax_number": "904-308-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Benmore Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "32792",
            "country_code": "US",
            "telephone_number": "407-646-7070",
            "fax_number": "407-646-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Pole Creek Xing",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "NE",
            "postal_code": "69162",
            "country_code": "US",
            "telephone_number": "308-254-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOLAR",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO 4615",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Serrano
• Smita Shah
• Alyson Jaide Shelor
• Corbin Shelor
• Bennie Shimp
• Lori Shutts
• Sidney Care and Rehabilitation Center, LLC
• Sidney Vision Clinic LLC
• Sidney Vision Clinic LLC
• Brenna D Simmons, M.S. ED., CF-SLP

• Family Medicine Physician in Sidney, NE
• Providers in Sidney, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.