Active NPI
Steven R Sacks, D.O.
- Gastroenterology Physician
- Wellington, FL
National Provider Identifier
1326067935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- OS7360
- Practice address
- 1447 Medical Park Blvd
Suite 205
Wellington, FL 33414-3164 - Phone
- (561) 798-2425
- Fax
- (561) 798-6356
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OS7360 | FL | Primary |
Addresses
Primary practice location
1447 Medical Park Blvd
Suite 205
Wellington, FL 33414-3164
Mailing address
5431 N University Dr
Coral Springs, FL 33067-4639
Phone (954) 344-2522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252623900 | Medicaid | DC |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS7360 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health LLC | Gastroenterology | Current | Accepting new patients |
| Gastrocare, LLP | Gastroenterology | Past | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
1447 Medical Park Blvd
Ste 205
Wellington, FL 33414
Phone (561) 234-6599
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Wellington, FL
- NPI 1003909888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1326067935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674639",
"telephone_number": "954-344-2522",
"fax_number": "954-344-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD",
"address_2": "SUITE 205",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143164",
"telephone_number": "561-798-2425",
"fax_number": "561-798-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "OS7360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252623900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.