Active NPI
Ira Sackman, M.D.
- Cardiovascular Disease Physician
- Harrisburg, PA
National Provider Identifier
1316940455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD019573E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060037222 | Other | RAILROAD MEDICARE | |
| 001009987 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.95 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Cardiovascular Associates, P.a. | Cardiovascular Disease | Current | 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 | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Wilmington, DE
- NPI 1073567418
-
- Cardiovascular Disease Physician
- Middletown, PA
- NPI 1750345948
-
- Anatomic Pathology Physician
- Carlisle, PA
- NPI 1386695666
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1952338212
-
- Cardiovascular Disease Physician
- Elkton, MD
- NPI 1588489645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.