Individual provider Active NPI

Sarah B Pumphrey, M.D.

  • Pediatrics Physician
  • Fishersville, VA
National Provider Identifier
1720285869
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101245000 Issued in VA
Practice address
57 Beam LN Ste 202
Fishersville, VA 22939-2350
Phone
(540) 932-0980
Fax
(540) 932-0979
NPI assigned
Jul 2, 2007
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101245000 VA Primary

Addresses

Primary practice location

57 Beam LN Ste 202
Fishersville, VA 22939-2350

Mailing address

57 Beam LN
Suite 202
Fishersville, VA 22939-2350
Phone (540) 932-0980

Other identifiers 1

IdentifierTypeStateIssuer
1720285869MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090724000383 VA Practitioner - Pediatric Medicine 6406920214 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245000VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 1, 2009 Accepting new patients
Jha MD PC Pediatrics PastSince Sep 1, 2019 Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

57 Beam Ln
Ste 202
Fishersville, VA 22939
Phone (540) 932-0980

Interoperability endpoints

  • Direct secure messaging: spumphrey9855@direct.healthsystem.virginia.edu

Organizations & group practices 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1720285869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BEAM LN",
            "address_2": "SUITE 202",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392350",
            "telephone_number": "540-932-0980",
            "fax_number": "540-932-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEAM LN STE 202",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392350",
            "telephone_number": "540-932-0980",
            "fax_number": "540-932-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "SARAH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101245000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720285869",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.