SARA HOLMSTROM MD
NPI 1093177396
Emergency Medicine - Pediatric Emergency Medicine in Providence, RI
About Sara Holmstrom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA HOLMSTROM MD (NPI 1093177396) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD18403) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sara Holmstrom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sara Holmstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 523 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sara Holmstrom's NPI number?
The NPI number for Sara Holmstrom is 1093177396. It was assigned to this individual provider in the NPPES registry on March 25, 2016.
Where is Sara Holmstrom located?
Sara Holmstrom practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Sara Holmstrom's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Sara Holmstrom enrolled in Medicare?
Yes. Sara Holmstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sara Holmstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Holmstrom reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Holmstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sara Holmstrom accept?
Health plans from CareSource and Cigna Healthcare list Sara Holmstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sara Holmstrom affiliated with any hospitals?
According to CMS data, Sara Holmstrom is affiliated with Indiana University Health.
When was this NPI record last updated?
The NPPES record for Sara Holmstrom was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sara Holmstrom, MD · NPI 1093177396
Pediatric Emergency Medicine physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1093177396 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** MD18403 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Iu Health Medical Group Riley Specialists, LLC (NPI 1699561480, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093177396) · Data from the CMS NPPES public registry.