Active NPI
Sara Ghevariya, DO
- Obstetrics & Gynecology Physician
- Greenbrae, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A22799
- Practice address
- 250 Bon Air Rd
Greenbrae, CA 94904-1702 - Phone
- (415) 925-7591
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 036156735 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A22799 | CA | Primary |
Addresses
Primary practice location
250 Bon Air Rd
Greenbrae, CA 94904-1702
Mailing address
10260 191St St Ste 100
Mokena, IL 60448-8802
Phone (708) 425-1907
Other practice location 1
10260 191st St Ste 100
Mokena, IL 60448-8802
Phone (708) 425-1907
Other practice location 2
9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Phone (708) 425-1907
Other names 1
- Sara Danhauser
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | whc@providea.gwaydirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Current | Accepting new patients | |
| A Lota Healthcare LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Providea Health Partners, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
9730 S Western Ave
Ste 700
Evergreen Pk, IL 60805
Phone (708) 425-1907
10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907
Interoperability endpoints
- sghevariya351660@direct-ucsfmedicalcenter.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.70301
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
- Obstetrics & Gynecology Physician
- Mokena, IL
- NPI 1770911208
-
- Obstetrics & Gynecology Physician
- Mokena, IL
- NPI 1437755147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1578083929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10260 191ST ST STE 100",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488802",
"telephone_number": "708-425-1907",
"fax_number": "708-422-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949041702",
"telephone_number": "415-925-7591"
}
],
"practiceLocations": [
{
"address_1": "10260 191st St Ste 100",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488802",
"country_code": "US",
"telephone_number": "708-425-1907",
"fax_number": "708-422-4358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9730 S Western Ave Ste 700",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608052814",
"country_code": "US",
"telephone_number": "708-425-1907",
"fax_number": "708-422-4358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHEVARIYA",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": "036156735",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A22799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "whc@providea.gwaydirect.com",
"affiliation": "N",
"endpointDescription": "EHR secure mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure mail",
"address_1": "10260 191st St Ste 100",
"city": "Mokena",
"state": "IL",
"country_code": "US",
"postal_code": "604488802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARA",
"last_name": "DANHAUSER",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.