Individual provider Active NPI

Carl John Sartori, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1548757974
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
334778 Issued in NY
Practice address
1621 Eastchester Rd
Bronx, NY 10461-2604
Phone
(718) 405-8040
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 334778 NY Primary
Pediatrics Physician 208000000X 62333 AZ

Addresses

Primary practice location

1621 Eastchester Rd
Bronx, NY 10461-2604

Mailing address

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Other practice location 1

1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681
Phone (928) 854-0094

Other practice location 2

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone (718) 904-4105

Other identifiers 1

IdentifierTypeStateIssuer
096337MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210901001427 AZ Practitioner - Pediatric Medicine 0547507808 Reassigns benefits to 1 organization
I20251003001047 NY Practitioner - Pediatric Medicine 0547507808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Corporate Dr
Yonkers, NY 10701-6807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 15, 2025 Accepting new patients
Montefiore Medical Center Pediatrics Current Accepting new patients
HRMC, LLC Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
HRMC, LLC Current Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Aug 15, 2025 Accepting new patients
Havasu Regional Medical Center LLC Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
HRMC, LLC Past Accepting new patients

Locations

1851 Mesquite Ave
Ste 206
Lake Havasu City, AZ 86403
Phone (928) 680-1209

1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1621 Eastchester Rd
Bronx, NY 10461

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: csartori@montefioredirect.com
  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pku5625@yourcarecommunity.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1548757974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612604",
            "telephone_number": "718-405-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Mesquite Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035681",
            "country_code": "US",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612301",
            "country_code": "US",
            "telephone_number": "718-904-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTORI",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "334778",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "62333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096337",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.