Active NPI
Sarah Grabois Tarai, M.D.
- Pediatrics Physician
- Lebanon, IN
National Provider Identifier
1740627256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01076711A
- Practice address
- 2705 N Lebanon St
Suite 310
Lebanon, IN 46052-8621 - Phone
- (765) 485-8900
- Fax
- (765) 485-8909
- NPI assigned
- May 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01076711A | IN | Primary |
Addresses
Primary practice location
2705 N Lebanon St
Suite 310
Lebanon, IN 46052-8621
Mailing address
2705 N Lebanon St
Suite 305
Lebanon, IN 46052-8621
Phone (765) 485-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201170430 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Witham Memorial Hospital | Past | Accepting new patients | |
| Witham Memorial Hospital | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3050 Mack Rd
Fairfield, OH 45014
Phone (513) 557-7718
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
- Clinical Medical Laboratory
- Lebanon, IN
- NPI 1558493767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1740627256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 N LEBANON ST",
"address_2": "SUITE 305",
"city": "LEBANON",
"state": "IN",
"postal_code": "460528621",
"telephone_number": "765-485-8900",
"fax_number": "765-485-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 N LEBANON ST",
"address_2": "SUITE 310",
"city": "LEBANON",
"state": "IN",
"postal_code": "460528621",
"telephone_number": "765-485-8900",
"fax_number": "765-485-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARAI",
"first_name": "SARAH",
"middle_name": "GRABOIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01076711A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201170430",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.