Sardelli Orthopaedics PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SARDELLI ORTHOPAEDICS PLLC

Practice address

5680 Bow Pointe Dr Ste 102
Clarkston, MI 48346-5407

Phone

(248) 792-0037

Fax

(248) 795-5714

NPI assigned

Dec 1, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Sardelli, MDNPI 1992992705

Title

Owner

Phone

(248) 379-4246

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Matthew Carl Sardelli, MD

  • Orthopaedic Surgery Physician
  • Clarkston, MI
  • NPI 1992992705
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Nordstrom, M.S., PA-C

  • Physician Assistant
  • Troy, MI
  • NPI 1861279754
  Medicare reassignment Care Compare group
• Wade B Wines, PAC

  • Physician Assistant
  • Flint, MI
  • NPI 1952685497
  Medicare reassignment

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1134839103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465402",
            "telephone_number": "248-379-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 BOW POINTE DR STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465407",
            "telephone_number": "248-792-0037",
            "fax_number": "248-795-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARDELLI ORTHOPAEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "SARDELLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-379-4246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gregory Santarossa, DDS
• Anthony Santilli, LLMSW
• Amanda Regina Santos
• Ravija Nayana Santoyo
• Anthony Saracino
• Sardelli Orthopaedics PLLC
• Matthew Carl Sardelli, MD
• Mona Sater, PA.C.
• Jennifer Ashley Sattler, LLMSW
• Amanda Sawulski

• Orthopaedic Surgery Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.