Alan Michael Sadove, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

01031760 Issued in IN

Practice address

170 W 106TH St
Indianapolis, IN 46290-1004

Phone

(317) 575-0330

Fax

(317) 846-5719

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Perkins Van Natta Plastic Surgery, P.C.

  • Specialist
  • Carmel, IN
  • NPI 1790743367
  Medicare reassignment

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1104850262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-733-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0330",
            "fax_number": "317-846-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOVE",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01031760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Osman Sadat, MD
• Schellie Anne Saddoris, MS CCC SLP
• Natalie M Sadek, PA
• Celia Christine Sadjadi, LMHC
• Sadove Plastic Surgery, LLC
• Amr Saeed
• Omer Abdelaziz Mohammed Saeed, MD
• Jacinto Saenz Sanchez, MD
• Fatimah S Safder, LMHC, MSED
• Safe and Sound Home Care LLC

• Plastic and Reconstructive Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Plastic and Reconstructive Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.