NPIMap

Individual provider Active NPI

Matthew James Sabo, DPM

  • Podiatrist
  • Chicora, PA
National Provider Identifier
1447218706
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC0047421 Issued in PA
Practice address
176 Medical Center Rd
Chicora, PA 16025-2612
Phone
(724) 445-3053
Fax
(724) 455-3053
NPI assigned
May 3, 2006
Last updated
Jul 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC0047421 PA Primary

Addresses

Primary practice location

176 Medical Center Rd
Chicora, PA 16025-2612

Mailing address

176 Medical Center Rd
Chicora, PA 16025-2612
Phone (724) 445-3053

Other identifiers 15

IdentifierTypeStateIssuer
251561562OtherPARR MEDICARE PROVIDER#
1390124OtherPAINDIVIDUAL PROVIDER#
13914OtherPAELDER HEALTH PROVIDER#
251561562OtherPAGROUP#
200065OtherPAHEALTH AMERICA INDIVID#
7955556OtherPAAETNA INDIVIDUAL PROV #
0011858030001MedicaidPA
188543OtherPAGROUP PROVIDER#
318279OtherPAUPMC INDIVIDUAL PROVIDER#
56407OtherPAUNISON GROUP PROVIDER#
0018962330002MedicaidPA
132077OtherPAUNISON INDIVIDUAL #
827OtherPAHEALTH AMERICA GROUP#
000000205717OtherPAANTHEM PROVIDER#
78203OtherPAAETNA GROUP PROVIDER#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SC0047421PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn North Centers for Advanced Wound Care PC Past Accepting new patients
Ankle and Foot Care, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1447218706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER RD",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160252612",
            "telephone_number": "724-445-3053",
            "fax_number": "724-445-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER RD",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160252612",
            "telephone_number": "724-445-3053",
            "fax_number": "724-455-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC0047421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER#",
            "identifier": "251561562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER#",
            "identifier": "1390124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH PROVIDER#",
            "identifier": "13914",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#",
            "identifier": "251561562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA INDIVID#",
            "identifier": "200065",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL PROV #",
            "identifier": "7955556",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011858030001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER#",
            "identifier": "188543",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC INDIVIDUAL PROVIDER#",
            "identifier": "318279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON GROUP PROVIDER#",
            "identifier": "56407",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018962330002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON INDIVIDUAL #",
            "identifier": "132077",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA GROUP#",
            "identifier": "827",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER#",
            "identifier": "000000205717",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROVIDER#",
            "identifier": "78203",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicora, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.