Individual provider Active NPI

Salvatore G Lacognata, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1609901057
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
3700 Issued in AZ
Practice address
3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750
Phone
(480) 969-3531
Fax
(480) 269-9465
NPI assigned
Feb 23, 2007
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 3700 AZ Primary

Addresses

Primary practice location

3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750

Mailing address

3941 E Baseline Rd Ste 102
Gilbert, AZ 85234-2750
Phone (480) 969-3531

Other identifiers 1

IdentifierTypeStateIssuer
628737MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001072 AZ Practitioner - Orthopedic Surgery 5799678009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGL Holdings LLCGroup PAC ID 3779862040, 3 clinicians

Practice addresses (Care Compare)

3941 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2750
Phone (480) 969-3531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3700AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
SGL Holdings LLC CurrentSince Aug 26, 2016 Accepting new patients
SGL Holdings LLC Adult Reconstructive Orthopaedic Surgery CurrentSince Nov 1, 2016 Accepting new patients
Banner Baywood Medical Center Past Accepting new patients

Locations

3941 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 969-3531

4850 E Baseline Rd
Ste 118
Mesa, AZ 85206
Phone (480) 461-0047

3501 N Scottsdale Rd
Ste 221
Scottsdale, AZ 85251
Phone (480) 422-8510

Interoperability endpoints

  • Direct secure messaging: slacognata@direct.uspi.com
  • Direct secure messaging: valleyboneandjoint.salvatorelacognata@134779.advancedmd-direct.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1609901057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-969-3531",
            "fax_number": "480-269-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-969-3531",
            "fax_number": "480-269-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOGNATA",
        "first_name": "SALVATORE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.