Individual provider Active NPI

Jacob R. Sakiey, P.A.

  • Physician Assistant
  • Salem, VA
National Provider Identifier
1437540796
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004829 Issued in VA
Practice address
100 Knotbreak Rd
Salem, VA 24153-5414
Phone
(540) 444-5670
NPI assigned
Feb 9, 2015
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004829 VA Primary

Addresses

Primary practice location

100 Knotbreak Rd
Salem, VA 24153-5414

Mailing address

100 Knotbreak Rd
Salem, VA 24153-5414
Phone (540) 444-5670

Other practice location 1

1101 1st St SW
Roanoke, VA 24016-4701
Phone (540) 444-5670

Other practice location 2

95 Ponderosa Dr
Christiansburg, VA 24073-6582
Phone (540) 444-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515000389 VA Practitioner - Physician Assistant 7618297680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Pain Management Associates, PCGroup PAC ID 5395806939, 11 clinicians

Practice addresses (Care Compare)

100 Knotbreak Rd
Salem, VA 24153-5414
Phone (540) 444-5670

2955 Market St
Suite C4
Christiansburg, VA 24073-6575
Phone (540) 444-5670

95 Ponderosa Dr
Christiansburg, VA 24073-6582
Phone (540) 444-5670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
83.44
Improvement activities
40
Cost
81.57

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004829VAMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1437540796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535414",
            "telephone_number": "540-444-5670",
            "fax_number": "540-444-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535414",
            "telephone_number": "540-444-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164701",
            "country_code": "US",
            "telephone_number": "540-444-5670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Ponderosa Dr",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240736582",
            "country_code": "US",
            "telephone_number": "540-444-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKIEY",
        "first_name": "JACOB",
        "middle_name": "R.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.