SARAH ELIZABETH BERGHOLTZ MD, MPH
NPI 1669267274
Student in an Organized Health Care Education/Training Program in Livonia, MI

Q: What is Sarah Bergholtz's NPI number?

The NPI number for Sarah Bergholtz is 1669267274. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Sarah Bergholtz'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 Sarah Bergholtz was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 14, 2025PECOS Enrolled

36475 FIVE MILE RD, LIVONIA, MI 48154(364) 754-8154 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sarah Elizabeth Bergholtz Md, Mph NPPES

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

SARAH ELIZABETH BERGHOLTZ MD, MPH (NPI 1669267274) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669267274

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARAH ELIZABETH BERGHOLTZCredential: MD, MPH

Location Address36475 FIVE MILE RDLivonia, MI 48154-1971

Mailing Address715 E Ann St Apt 1Ann Arbor, MI 48104-1588 · (989) 395-4708

Phone(364) 754-8154

Sole ProprietorNo

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1669267274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code390200000X

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.

36475 FIVE MILE RD, Livonia, MI 48154

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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)

Sarah Elizabeth Bergholtz Md, Mph 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.

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.

MS. ANDREA NICOLE YURCAK PA-C

Physician Assistant