Organization Active NPI

SGL Holdings LLC

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1184077596
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SGL HOLDINGS LLC
Practice address
3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750
Phone
(480) 969-3531
Fax
(866) 764-4599
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Salvatore Lacognata, MDNPI 1609901057
Title
MD
Phone
(480) 652-5928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750

Mailing address

4850 E Baseline Rd Ste 118
Mesa, AZ 85206-4626
Phone (480) 652-5928

Other practice location 1

3501 N Scottsdale Rd Ste 221
Scottsdale, AZ 85251-5649
Phone (480) 969-3531

Other identifiers 1

IdentifierTypeStateIssuer
628737MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161110000121 AZ Part B Supplier - Clinic/Group Practice 3779862040 Receives reassigned benefits from 3 practitioners
Practice locations: Gilbert, AZ; Peoria, AZ; Scottsdale, AZ
O20190604002412 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3779862040 Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

4850 E Baseline Rd
Ste 118
Mesa, AZ 85206
Phone (480) 461-0047

3501 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85251

3501 N Scottsdale Rd
Ste 221
Scottsdale, AZ 85251
Phone (480) 422-8510

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1184077596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-652-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-969-3531",
            "fax_number": "866-764-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 N Scottsdale Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515649",
            "country_code": "US",
            "telephone_number": "480-969-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SGL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "LACOGNATA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "480-652-5928",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.