Active NPI
Nicholo J. Sartor, MD
- Pediatrics Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME113841
- Practice address
- 1801 Lee Rd Ste 165
Winter Park, FL 32789 - Phone
- (407) 975-0410
- Fax
- (407) 975-0413
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME113841 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 9801478 | NC | |
| Pediatrics Physician | 208000000X | 9801478 | NC | |
| Internal Medicine Physician | 207R00000X | ME113841 | FL | |
| Hospitalist Physician | 208M00000X | ME113841 | FL |
Addresses
Primary practice location
1801 Lee Rd Ste 165
Winter Park, FL 32789
Mailing address
1801 Lee Rd Ste 165
Winter Park, FL 32789-2127
Phone (407) 975-0410
Other practice location 1
110 Longwood Ave
Wuesthoff Medical Center
Rockledge, FL 32955-2828
Phone (321) 636-2211
Other practice location 2
110 Longwood Ave
Wuesthoff Medical Center
Rockledge, FL 32955-2828
Phone (321) 636-2211
Other practice location 3
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006567700 | Medicaid | FL | |
| 370016486 | Other | NC | RAILROAD MEDICARE |
| GP476X | Other | FL | MEDICARE |
| ME113841 | Other | FL | LICENSE |
| 1167P | Other | NC | BCBS OF NC |
| 82667 | Other | NC | MEDCOST INSURANCE |
| 891167P | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| WNC Hospitalist Service PLLC | Internal Medicine | Past | Accepting new patients |
| Harris Regional Hospital Inc | Hospitalist | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406
Interoperability endpoints
- nsartor961012@adventhealth.direct-ci.com
- nsartor1229152@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Internal Medicine
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Internal Medicine
-
- Hospitalist Physician
- Sylva, NC
- NPI 1518280171
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1902952971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1013992759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LEE RD STE 165",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892127",
"telephone_number": "407-975-0410",
"fax_number": "407-975-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 LEE RD STE 165",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-975-0410",
"fax_number": "407-975-0413"
}
],
"practiceLocations": [
{
"address_1": "110 Longwood Ave",
"address_2": "Wuesthoff Medical Center",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329552828",
"country_code": "US",
"telephone_number": "321-636-2211",
"fax_number": "321-690-6620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Longwood Ave",
"address_2": "Wuesthoff Medical Center",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329552828",
"country_code": "US",
"telephone_number": "321-636-2211",
"fax_number": "321-690-6620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"fax_number": "321-434-1775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARTOR",
"first_name": "NICHOLO",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME113841",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9801478",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9801478",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME113841",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME113841",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006567700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "370016486",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GP476X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME113841",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1167P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE",
"identifier": "82667",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891167P",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.