Active NPI
Jeffrey Brett Sack, MD FACC FACA FCCP
- Interventional Cardiology Physician
- Sarasota, FL
National Provider Identifier
1316923147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME0056807
- Practice address
- 5471 Bee Ridge Rd
Suite 260
Sarasota, FL 34233 - Phone
- (941) 371-3800
- Fax
- (941) 371-2069
- NPI assigned
- Dec 22, 2005
- Last updated
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ME0056807 | FL | Primary |
Addresses
Primary practice location
5471 Bee Ridge Rd
Suite 260
Sarasota, FL 34233
Mailing address
PO Box 15157
Sarasota, FL 34277-1157
Phone (941) 371-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259834500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (888) 221-2216
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- HCA Florida Englewood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056807 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panel of Electrocardiology of Doctors Hospital | Current | Accepting new patients | |
| Sarasota Physical Medicine Inc | Past | Accepting new patients |
Locations
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Sarasota, FL
- NPI 1639129653
-
- Interventional Cardiology Physician
- Sarasota, FL
- NPI 1487093787
-
- Urgent Care Clinic/Center
- Arcadia, FL
- NPI 1699065102
-
dba Haley Lamourt Chiropractic
- Internist Chiropractor
- Sarasota, FL
- NPI 1225073315
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1316923147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15157",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342771157",
"telephone_number": "941-371-3800",
"fax_number": "941-371-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 BEE RIDGE RD",
"address_2": "SUITE 260",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34233",
"telephone_number": "941-371-3800",
"fax_number": "941-371-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACK",
"first_name": "JEFFREY",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "MD FACC FACA FCCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME0056807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259834500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.