Ryan Sacotte

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

39577-20 Issued in WI

Practice address

13800 W North Ave
Brookfield, WI 53005-4977

Phone

(262) 754-4488

NPI assigned

Mar 4, 2015

Last updated

May 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Dermatology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Dermatologists SCGroup PAC ID 8123065794, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.13 of 100Reported as group

Quality

90.63

Improvement activities

40

Cost

82.92

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Dermatologists SC

  • Dermatology Physician
  • Brookfield, WI
  • NPI 1407849011
  Medicare reassignment Care Compare group NPD
• Affiliated Dermatologists, SC

  • MOHS-Micrographic Surgery Physician
  • Oak Creek, WI
  • NPI 1316656721

  Dermatology

  NPD
• Affiliated Dermatologists

  • Dermatology Physician
  • Germantown, WI
  • NPI 1902205206
  NPD (past)
• Affiliated Dermatologists SC

  • Dermatology Physician
  • New Berlin, WI
  • NPI 1194711853
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1164815890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-754-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Delaware Pl",
            "address_2": "APT 34J",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111449",
            "country_code": "US",
            "telephone_number": "262-689-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACOTTE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-05-16",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "39577-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saak Ambulatory Surgery Center LLC
• Saak Health, LLC
• Saak Wound Care Clinics LLC
• Saak, SC
• Jeffrey T Sabatino, D.O.
• Alissa Marie Sadler, MOTR/L
• Safeway Drivers Fitness Centers
• Katherine Elizabeth Scott Sage, PHD
• Jyoti Saluja, M.D.
• Annabella Salvo

• Dermatology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.