Individual provider Active NPI

Mark Sateriale, MD

  • Diagnostic Radiology Physician
  • North Andover, MA
National Provider Identifier
1518932201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K7097 Issued in TX
Practice address
258 Rea St
North Andover, MA 01845-4813
Phone
(978) 974-0837
Fax
(978) 794-6839
NPI assigned
Feb 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K7097 TX Primary

Addresses

Primary practice location

258 Rea St
North Andover, MA 01845-4813

Mailing address

258 Rea St
North Andover, MA 01845-4813
Phone (978) 974-0837

Other identifiers 1

IdentifierTypeStateIssuer
156958402MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reono Bertagnolli a Medical Group Diagnostic Radiology CurrentSince Mar 24, 2018 Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Extremity Imaging Partners Inc PastSince Apr 30, 2003 Accepting new patients

Locations

13005 Stacy Ln
Little Rock, AR 72211
Phone (501) 221-8661

10948 Bigge St
San Leandro, CA 94577
Phone (510) 278-9030

109 Rhode Island Rd
Ofc First
Lakeville, MA 02347

Organizations & group practices 5

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518932201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 REA ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454813",
            "telephone_number": "978-974-0837",
            "fax_number": "978-794-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 REA ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454813",
            "telephone_number": "978-974-0837",
            "fax_number": "978-794-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATERIALE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K7097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156958402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.