Individual provider Active NPI

Sara Mitra Etebari, MD

  • Student in an Organized Health Care Education/Training Program
  • Point Pleasant, WV
National Provider Identifier
1407797178
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 John Marshall Dr
Point Pleasant, WV 25550-1749
Phone
(304) 733-8735
Fax
(304) 733-8745
NPI assigned
Apr 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1 John Marshall Dr
Point Pleasant, WV 25550-1749

Mailing address

1 John Marshall Dr
Point Pleasant, WV 25550-1749
Phone (304) 733-8735

Other practice location 1

1115 20th St Ste 205
Huntington, WV 25703-2071
Phone (304) 691-1500

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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. 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": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1407797178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501749",
            "telephone_number": "304-733-8735",
            "fax_number": "304-733-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501749",
            "telephone_number": "304-733-8735",
            "fax_number": "304-733-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 20th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257032071",
            "country_code": "US",
            "telephone_number": "304-691-1500",
            "fax_number": "304-523-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETEBARI",
        "first_name": "SARA",
        "middle_name": "MITRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

Verify at the official NPI Registry.