Individual provider Active NPI

Isam Awni Sakati, M.D.

  • Urology Physician
  • Hilton Head, SC
National Provider Identifier
1164790879
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20-19219 Issued in SC
Practice address
99 Club Course Dr
Hilton Head, SC 29928-3127
Phone
(843) 671-7682
NPI assigned
Dec 8, 2011
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20-19219 SC Primary

Addresses

Primary practice location

99 Club Course Dr
Hilton Head, SC 29928-3127

Mailing address

99 Club Course Dr
Hilton Head, SC 29928-3127
Phone (843) 671-7682

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
20-19219SCMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1164790879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CLUB COURSE DR",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299283127",
            "telephone_number": "843-671-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CLUB COURSE DR",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299283127",
            "telephone_number": "843-671-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKATI",
        "first_name": "ISAM",
        "middle_name": "AWNI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "20-19219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.