Individual provider Active NPI

Rita Sabeti, MD

  • General Practice Physician
  • Elm Grove, WI
National Provider Identifier
1003043381
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
56179-20 Issued in WI
Practice address
12868 W Bluemound Rd
Elm Grove, WI 53122-2605
Phone
(414) 616-3935
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 56179-20 WI Primary

Addresses

Primary practice location

12868 W Bluemound Rd
Elm Grove, WI 53122-2605

Mailing address

12868 W Bluemound Rd
Elm Grove, WI 53122-2605
Phone (414) 616-3935

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@foreveryoungwisconsin.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56179-20WIMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1003043381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12868 W BLUEMOUND RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222605",
            "telephone_number": "414-616-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12868 W BLUEMOUND RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222605",
            "telephone_number": "414-616-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABETI",
        "first_name": "RITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "56179-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@foreveryoungwisconsin.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "phone",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "414-616-3935",
            "address_1": "12868 W Bluemound Rd",
            "city": "Elm Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531222605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.