DR. SARAH BOU MALHAM (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1720392590

DR. SARAH BOU MALHAM (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 60682 (MN). The NPI Number for DR. SARAH BOU MALHAM (MD) is 1720392590

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARAH BOU MALHAM (MD)
NPI
1720392590
Phone
(612) 873-7381
Address
701 PARK AVE
Enumeration Date
3 August 2010
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529275316
Graduation Year
2010 (16 years ago)
PAC ID
8426280124
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20160802000164
Address ID
MN554355845MI7701XSXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

194 ENDOCRINOLOGY in MN

Provider Addresses for DR. SARAH BOU MALHAM (MD)

  • 701 PARK AVE

    MINNEAPOLIS, MN 554151010

    Phone: (612) 873-7381

    Type: Mailing

  • 715 S 8TH ST

    MINNEAPOLIS, MN 554041210

    Phone: (612) 873-6963

    Fax: (612) 873-8423

    Type: Location

  • 4200 DAHLBERG DR STE 300

    GOLDEN VALLEY, MN 554224841

    Phone: (952) 512-5600

    Type: Mailing

  • 7701 YORK AVE S STE 180

    EDINA, MN 554355845

    Phone: (952) 927-5316

    Fax: (952) 927-6309

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Medtronic, Inc. ($43).

Total Amount

$175

General + Research + Ownership

Payments

9

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160802000164IEndocrinologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55415)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for DR. SARAH BOU MALHAM (MD)?
Save NPI 1720392590 if you need a stable reference for DR. SARAH BOU MALHAM (MD).
Is DR. SARAH BOU MALHAM (MD) active in the national directory?
DR. SARAH BOU MALHAM (MD)'s public NPI profile is in an active state.
What field does DR. SARAH BOU MALHAM (MD) work in?
You can think of DR. SARAH BOU MALHAM (MD) as practicing within Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SARAH BOU MALHAM (MD)?
The snapshot lists Minneapolis, Minnesota for DR. SARAH BOU MALHAM (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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