Robert Damian Sansonetti, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

013210 Issued in ME

Practice address

144 US Route 1
Scarborough, ME 04074-7203

Phone

(207) 883-5444

Fax

(207) 883-5165

NPI assigned

Jul 31, 2006

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

Other identifiers 2

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00039
• FHIR API: https://fhir4.healow.com/fhir/r4/ICEGBD

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

• Benjamin Liess ENT LLC

  • Otolaryngology Physician
  • Scarborough, ME
  • NPI 1518431642
  NPD (past)
• Camden Dermatology & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Rockport, ME
  • NPI 1215440011
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1184630006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747203",
            "telephone_number": "207-883-5444",
            "fax_number": "207-883-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747203",
            "telephone_number": "207-883-5444",
            "fax_number": "207-883-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSONETTI",
        "first_name": "ROBERT",
        "middle_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "013210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "013210",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124180000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salt & Pine Restorative Counseling, LLC
• Sam'S Club Optical
• Sams East Inc
• Matthew R Sanborn, MD
• Marcia L Sanderson, PT
• Saplings Occupational Therapy, LLC
• Sarah Dugas, LCSW, LLC
• Sarah Street Taylor, NP LLC
• Renee M Sarett, MD
• Deanne Sargent

• Specialist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.