Individual provider Active NPI

Abdullah Sakarcan, MD

  • Pediatrics Physician
  • West Reading, PA
National Provider Identifier
1376573683
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD434736 Issued in PA
Practice address
655 Walnut St
West Reading, PA 19611
Phone
(484) 345-3038
Fax
(610) 372-0232
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X C10009076 DE
Pediatric Nephrology Physician 2080P0210X 21533 SC
Pediatrics Physician 208000000X MD434736 PA Primary

Addresses

Primary practice location

655 Walnut St
West Reading, PA 19611

Mailing address

PO Box 6946
Reading, PA 19610-0946
Phone (610) 372-9222

Other practice location 1

1600 Rockland Road
Wilmington, DE 19803-3607
Phone (302) 651-4000

Other identifiers 1

IdentifierTypeStateIssuer
102194372-0009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080904000087 PA Practitioner - Pediatric MedicinePractitioner - Nephrology 5597772699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21533SCMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
All About Children Pediatric Partners PC Pediatrics Past Accepting new patients
University Pediatrics Pediatrics PastSince Jul 16, 2012 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

655 Walnut St
West Reading, PA 19611
Phone (610) 372-9222

Interoperability endpoints

  • Direct secure messaging: abdullah.sakarcan@aacppp-pa.direct.office.nextgen.com
  • Direct secure messaging: asakarcan7627@direct.nemours.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1376573683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6946",
            "city": "READING",
            "state": "PA",
            "postal_code": "196100946",
            "telephone_number": "610-372-9222",
            "fax_number": "610-372-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WALNUT ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "484-345-3038",
            "fax_number": "610-372-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Rockland Road",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-4547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKARCAN",
        "first_name": "ABDULLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "DE",
            "license": "C10009076",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "SC",
            "license": "21533",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD434736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102194372-0009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.