Individual provider Active NPI

Ira Sackman, M.D.

  • Cardiovascular Disease Physician
  • Harrisburg, PA
National Provider Identifier
1316940455
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD019573E Issued in PA
Practice address
2808 Old Post Rd
Harrisburg, PA 17110-3670
Phone
(717) 920-4400
Fax
(717) 920-4553
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD019573E PA
Cardiovascular Disease Physician 207RC0000X MD019573E PA Primary

Addresses

Primary practice location

2808 Old Post Rd
Harrisburg, PA 17110-3670

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612

Other identifiers 2

IdentifierTypeStateIssuer
060037222OtherRAILROAD MEDICARE
001009987MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20201111001052 DE Practitioner - Cardiovascular Disease (Cardiology) 9335116524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Cardiovascular Associates, P.a. Cardiovascular Disease CurrentSince Nov 2, 2020 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients
Cardiology Diagnostic Associates, LLC Cardiovascular Disease Past Accepting new patients
Delaware Cardiovascular Associates, P.a. Cardiovascular Disease PastSince Nov 24, 2024 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients

Locations

34453 King Street Row
Lewes, DE 19958
Phone (302) 644-7676

92 Atlantic Ave
Ste A
Ocean View, DE 19970
Phone (302) 537-0235

1403 Foulk Rd
Ste 101A
Wilmington, DE 19803
Phone (302) 661-7676

1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676

Interoperability endpoints

  • Direct secure messaging: ira.sackman.p3@direct.chv.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1316940455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103670",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKMAN",
        "first_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD019573E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD019573E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060037222",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001009987",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.