NPIMap

Individual provider Active NPI

Roger A. Sacry I, M.D.

  • Family Medicine Physician
  • Carthage, MO
National Provider Identifier
1528009529
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1999134577 Issued in MO
Practice address
433 S Garrison Ave
Carthage, MO 64836-1749
Phone
(417) 359-8646
Fax
(417) 359-8344
NPI assigned
Jun 9, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1999134577 MO Primary

Addresses

Primary practice location

433 S Garrison Ave
Carthage, MO 64836-1749

Mailing address

433 S Garrison Ave
Carthage, MO 64836-1749
Phone (417) 359-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001718 MO Practitioner - Family Practice 9739164021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacry Family Medicine PCGroup PAC ID 0840351649, 2 clinicians

Practice addresses (Care Compare)

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286

433 S Garrison Ave
Carthage, MO 64836-1749
Phone (417) 359-8646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions38
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1999134577MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Sacry Family Medicine PC CurrentSince Dec 1, 2008 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Sep 1, 2023 Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine Past Accepting new patients
Mercy Clinic Joplin LLC Family Medicine Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

211 E Chestnut St
Carthage, MO 64836
Phone (417) 359-8646

433 S Garrison Ave
Carthage, MO 64836
Phone (417) 358-8121

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJFAA/Endpoint/EHJFAA

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1528009529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361749",
            "telephone_number": "417-359-8646",
            "fax_number": "417-359-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361749",
            "telephone_number": "417-359-8646",
            "fax_number": "417-359-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACRY",
        "first_name": "ROGER",
        "middle_name": "A.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "1999134577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.