Luigi Andrew Fontanosa Sabal

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

MT230177 Issued in PA

Practice address

30 Hope Dr # Ec089
Hershey, PA 17033-2036

Phone

(717) 531-4803

NPI assigned

Sep 15, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1174301725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 2ND ST APT 308",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170361731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR # EC089",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAL",
        "first_name": "LUIGI ANDREW",
        "middle_name": "FONTANOSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "PA",
            "license": "MT230177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Witold Boleslaw Rybka, MD
• Jacquelyn R Ryer, CRNP
• Leanne M Rytel, PA-C
• Grace Soojin Ryu
• Susan Rzucidlo
• Julia M Sabato, PA-C
• Mansi Sachdev, M.D.
• Divya C Sahajwalla, MD
• Nitasa Sahu
• Sonia Sajja, MD

• Orthopaedic Foot and Ankle Surgery Physician in Hershey, PA
• Providers in Hershey, PA by specialty
• Orthopaedic Foot and Ankle Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.