Individual provider Active NPI

Sarah Pettigrew Todd, M.D.

  • Pediatrics Physician
  • Huntsville, AL
National Provider Identifier
1396066858
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32462 Issued in AL
Practice address
1963 Memorial Pkwy SW
Suite 5
Huntsville, AL 35801-5036
Phone
(256) 265-2464
Fax
(256) 265-2466
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 32462 AL Primary

Addresses

Primary practice location

1963 Memorial Pkwy SW
Suite 5
Huntsville, AL 35801-5036

Mailing address

113 Liverpool Dr
Madison, AL 35758-6295
Phone (256) 520-9852

Other names 1

  • Sarah Lynn Pettigrew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130424000722 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3476799198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32462ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Pediatric Associates, LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1396066858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIVERPOOL DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586295",
            "telephone_number": "256-520-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 MEMORIAL PKWY SW",
            "address_2": "SUITE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015036",
            "telephone_number": "256-265-2464",
            "fax_number": "256-265-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "SARAH",
        "middle_name": "PETTIGREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "32462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PETTIGREW",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.