Active NPI
Diane L Sacchetti MD PC
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1437337508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DS048409
- Legal business name
- DIANE L SACCHETTI MD PC
- Practice address
- 1611 Monroe St
Dearborn, MI 48124-2912 - Phone
- (313) 278-7100
- Fax
- (313) 562-2216
- NPI assigned
- Jan 31, 2008
- Last updated
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane L Sacchetti
- Title
- Owner
- Phone
- (313) 278-7100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DS048409 | MI | Primary |
Addresses
Primary practice location
1611 Monroe St
Dearborn, MI 48124-2912
Mailing address
1611 Monroe St
Dearborn, MI 48124-2912
Phone (313) 278-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110H233050 | Other | BCBS OF MI | |
| 110018813 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1611 Monroe St
Dearborn, MI 48124
Phone (313) 254-4039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1649240573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1437337508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242912",
"telephone_number": "313-278-7100",
"fax_number": "313-562-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242912",
"telephone_number": "313-278-7100",
"fax_number": "313-562-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE L SACCHETTI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "SACCHETTI",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-278-7100"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "DS048409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "110H233050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110018813",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.