Active NPI
Alice Isome Sato, M.D., PH.D.
- Pediatric Infectious Diseases Physician
- Denver, CO
National Provider Identifier
1619012457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 278247
- Practice address
- 2055 N High St Ste 190
Denver, CO 80205 - Phone
- (303) 393-4300
- Fax
- (303) 832-7205
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07841100 | NJ | |
| Pediatrics Physician | 208000000X | DR47250 | CO | |
| Pediatrics Physician | 208000000X | MD420340 | PA | |
| Pediatrics Physician | 208000000X | D59551 | MD | |
| Pediatrics Physician | 208000000X | MD42069 | WA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 35.097468 | OH | |
| Pediatric Infectious Diseases Physician | 2080P0208X | DR.0047250 | CO | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 278247 | NY | Primary |
Addresses
Primary practice location
2055 N High St Ste 190
Denver, CO 80205
Mailing address
22 New Scotland Ave # MC88
Albany, NY 12208-3795
Phone (518) 262-5332
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055417 | Medicaid | OH | |
| AB32999 | Other | WA | MEDICARE PTAN |
| 07531885 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR47250 | CO | MD | Pediatrics Physician |
| D59551 | MD | MD | Pediatrics Physician |
| 25MA07841100 | NJ | MD | Pediatrics Physician |
| MD420340 | PA | MD | Pediatrics Physician |
| MD42069 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients |
Locations
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1619012457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 NEW SCOTLAND AVE # MC88",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083795",
"telephone_number": "518-262-5332",
"fax_number": "518-262-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N HIGH ST STE 190",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "303-393-4300",
"fax_number": "303-832-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "ALICE",
"middle_name": "ISOME",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07841100",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR47250",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD420340",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D59551",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD42069",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "OH",
"license": "35.097468",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CO",
"license": "DR.0047250",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "NY",
"license": "278247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055417",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AB32999",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07531885",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.