Individual provider Active NPI

Sara M Norvell, MD

  • Anesthesiology Physician
  • Granger, IN
National Provider Identifier
1699822585
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01065699A Issued in IN
Practice address
5811 Sterling Dr
Apt. 9
Granger, IN 46530-4432
Phone
(615) 618-9573
NPI assigned
Jan 4, 2007
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01065699A IN Primary

Addresses

Primary practice location

5811 Sterling Dr
Apt. 9
Granger, IN 46530-4432

Mailing address

5811 Sterling Dr
Apt. 9
Granger, IN 46530-4432
Phone (615) 618-9573

Other identifiers 1

IdentifierTypeStateIssuer
200928990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190415001185 AZ Practitioner - Anesthesiology 2769540764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 13129
Salem, OR 97309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065699AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Family Medicine Current Accepting new patients
Southern Arizona Anesthesia Services, PC Anesthesiology CurrentSince Feb 16, 2019 Accepting new patients
St. Joseph Valley Anesthesia P.C. Anesthesiology Past Accepting new patients

Locations

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1699822585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 STERLING DR",
            "address_2": "APT. 9",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304432",
            "telephone_number": "615-618-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 STERLING DR",
            "address_2": "APT. 9",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304432",
            "telephone_number": "615-618-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVELL",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01065699A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200928990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.