Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SARA DOGOM BOHON MD
NPI 1003480054
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is Sara Bohon's NPI number?

The NPI number for Sara Bohon is 1003480054. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Sara Bohon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Bohon was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2021PECOS Enrolled

1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-3627 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Jul 2, 2024, May 14, 2021 (3 updates tracked since 2021).

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About Sara Dogom Bohon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA DOGOM BOHON MD (NPI 1003480054) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116038830) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003480054

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARA DOGOM BOHONCredential: MD

Location Address1215 LEE STCharlottesville, VA 22908-0001

Mailing Address1215 Lee St, Mailbox 800501Charlottesville, VA 22908-0816 · (434) 987-0169

Phone(434) 924-3627

Sole ProprietorNo

Enumeration DateMay 14, 2021

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1003480054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in VA · 0116038830

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPediatricsTaxonomy 208000000X · License BP10075621 (TX)

1215 LEE ST, Charlottesville, VA 22908

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Dogom Bohon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.