Organization Active NPI

Robert Sadaty, MD PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1083679237
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT SADATY, MD PA
Practice address
14305 Collir Boulevard
Naples, FL 34119-9589
Phone
(941) 270-3114
Fax
(423) 295-9320
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mr. Robert D. Sadaty, M.D.NPI 1790779767
Title
President/Owner
Phone
(239) 777-2601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14305 Collir Boulevard
Naples, FL 34119-9589

Mailing address

P.O. Box 112559
Naples, FL 34108-0143
Phone (941) 270-3114

Other identifiers 2

IdentifierTypeStateIssuer
DD9506OtherFLMCR RR
264718400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000834 FL Part B Supplier - Clinic/Group Practice 2567494255 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

9400 Fountain Medical Ct
#B100
Bonita Springs, FL 34135
Phone (239) 494-6244

9400 Fountain Medical Ct
#B
Bonita Springs, FL 34135
Phone (239) 494-6244

9400 Fountain Medical Ct
Ste B100
Bonita Springs, FL 34135
Phone (239) 494-6244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1083679237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 112559",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080143",
            "telephone_number": "941-270-3114",
            "fax_number": "423-295-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 COLLIR BOULEVARD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199589",
            "telephone_number": "941-270-3114",
            "fax_number": "423-295-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SADATY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SADATY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-777-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "DD9506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264718400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.