Active NPI
Mario P Sacchetti, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- Morganton, NC
National Provider Identifier
1518932284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 200601047
- Practice address
- 2209 S. Sterling St,
Morganton, NC 28655-2209 - Phone
- (828) 580-4220
- Fax
- (828) 580-4229
- NPI assigned
- Feb 17, 2006
- Last updated
- Dec 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 200601047 | NC | Primary |
Addresses
Primary practice location
2209 S. Sterling St,
Morganton, NC 28655-2209
Mailing address
300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 433-2686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904114 | Medicaid | NC | |
| 001800770 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217002101 | NC | Order and Referring Only - Orthopedic Surgery | 7618868597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200601047 | NC | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Hospitals, Inc. | Past | Accepting new patients |
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.
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
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": "1448928000000",
"number": "1518932284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ENOLA RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554608",
"telephone_number": "828-433-2686",
"fax_number": "828-438-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 S. STERLING ST,",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286552209",
"telephone_number": "828-580-4220",
"fax_number": "828-580-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCHETTI",
"first_name": "MARIO",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "200601047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904114",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001800770",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.