Active NPI
Sarah Elise Nystrom, MD, MPH
- Nephrology Physician
- Durham, NC
National Provider Identifier
1629412747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2019-00992
- Practice address
- 300 N Duke St
Durham, NC 27701-2047 - Phone
- (919) 660-6987
- NPI assigned
- Apr 19, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0057252 | CO | |
| Hospitalist Physician | 208M00000X | DR.0057252 | CO | |
| Nephrology Physician | 207RN0300X | 2019-00992 | NC | Primary |
Addresses
Primary practice location
300 N Duke St
Durham, NC 27701-2047
Mailing address
300 N Duke St
Durham, NC 27701-2047
Phone (919) 660-6987
Other practice location 1
2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (919) 660-6860
Other practice location 2
2424 Erwin Rd Ste 605
Durham, NC 27705
Phone (919) 660-6860
Other practice location 3
1555 Poydras Street
8th floor
New Orleans, LA 70112
Phone (504) 988-7809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-00992 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Interoperability endpoints
- snystrom427337@direct.medicine.duke.edu
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1629412747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N DUKE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277012047",
"telephone_number": "919-660-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N DUKE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277012047",
"telephone_number": "919-660-6987"
}
],
"practiceLocations": [
{
"address_1": "2637 Midpoint Dr Ste B",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805254408",
"country_code": "US",
"telephone_number": "919-660-6860",
"fax_number": "919-681-1143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 Erwin Rd Ste 605",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27705",
"country_code": "US",
"telephone_number": "919-660-6860",
"fax_number": "919-681-1143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1555 Poydras Street",
"address_2": "8th floor",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70112",
"country_code": "US",
"telephone_number": "504-988-7809",
"fax_number": "504-988-3971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYSTROM",
"first_name": "SARAH",
"middle_name": "ELISE",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0057252",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0057252",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2019-00992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
- 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.