DR. SAPNA DHARMAR MD
NPI 1255969093
Pediatrics in University Place, WA
About Dr. Sapna Dharmar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAPNA DHARMAR MD (NPI 1255969093) is an individual pediatrics provider in University Place, Washington, licensed in Washington (MD.61605796) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Dr. Sapna Dharmar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sapna Dharmar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 1,526 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sapna Dharmar's NPI number?
The NPI number for Sapna Dharmar is 1255969093. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Sapna Dharmar located?
Sapna Dharmar practices at 7210 40th St W, University Place, WA 98466. The listed phone number is (253) 564-0170.
What is Sapna Dharmar's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sapna Dharmar enrolled in Medicare?
Yes. Sapna Dharmar is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sapna Dharmar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sapna Dharmar reassigns Medicare benefits to Franciscan Medical Group (Tacoma, WA). The 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 Sapna Dharmar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sapna Dharmar accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sapna Dharmar 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.
When was this NPI record last updated?
The NPPES record for Sapna Dharmar was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Sapna Dharmar, MD · NPI 1255969093
Pediatrics physician in University Place, Washington. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1255969093 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD.61605796 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7210 40TH ST W, University Place, WA 98466-4319
- **Phone:** (253) 564-0170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Franciscan Medical Group (NPI 1831358282, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255969093) · Data from the CMS NPPES public registry.