Individual provider Active NPI

Sarah Elizabeth Hall, DO

  • Internal Medicine Physician
  • Moscow, ID
National Provider Identifier
1487037008
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
O-1703 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843-3046
Phone
(208) 882-4511
Fax
(208) 883-6580
NPI assigned
Jun 30, 2015
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201902334 NC
Pediatrics Physician 208000000X O-1703 ID
Pediatrics Physician 208000000X 201802334 NC
Internal Medicine Physician 207R00000X O-1703 ID Primary

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843-3046

Mailing address

PO Box 8007
Moscow, ID 83843-0507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220721003278 ID Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6305152984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians
Gritman Medical Center IncGroup PAC ID 8729070164, 15 clinicians

Practice addresses (Care Compare)

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-1441

700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-1703IDMDInternal Medicine Physician
201902334NCMDInternal Medicine Physician
201802334NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital Inc. CurrentSince Apr 7, 2025 Accepting new patients
Gritman Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Gritman Medical Center Inc. CurrentSince Aug 1, 2022 Accepting new patients
Bonner General Hospital, Inc CurrentSince Apr 7, 2025 Accepting new patients
Bonner General Hospital, Inc. Internal Medicine Past Accepting new patients

Locations

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001
  • Direct secure messaging: shall689728@direct.ochin.org

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.

Hospital & facility affiliations 4

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1487037008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-4511",
            "fax_number": "208-883-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201902334",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "O-1703",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201802334",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.