Individual provider Active NPI

Sarah S Bosslet, MD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1962462531
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
014064886A Issued in IN
Practice address
7174 Waldemar Dr
Indianapolis, IN 46268-2183
Phone
(463) 298-2381
Fax
(463) 250-0183
NPI assigned
Mar 27, 2006
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 014064886A IN Primary

Addresses

Primary practice location

7174 Waldemar Dr
Indianapolis, IN 46268-2183

Mailing address

7610 Dubonnet Way
Indianapolis, IN 46278-1542
Phone (463) 298-2381

Other identifiers 1

IdentifierTypeStateIssuer
200898830MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200821000383 IN Practitioner - Pediatric Medicine 3870505928 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014064886AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Oct 1, 2020 Accepting new patients
University Family Physicians, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Nov 1, 2020 Accepting new patients
Traders Point Pediatrics Pediatrics CurrentSince Jan 12, 2025 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

4880 Century Plaza Rd
Ste 250
Indianapolis, IN 46254
Phone (317) 216-2500

7174 Waldemar Dr
Indianapolis, IN 46268
Phone (463) 298-2381

Interoperability endpoints

  • Direct secure messaging: sbosslet1@direct.iuhealth.org

Organizations & group practices 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1962462531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 DUBONNET WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781542",
            "telephone_number": "463-298-2381",
            "fax_number": "463-250-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7174 WALDEMAR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682183",
            "telephone_number": "463-298-2381",
            "fax_number": "463-250-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSLET",
        "first_name": "SARAH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "014064886A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200898830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.