Individual provider Active NPI

Marc Anthony Sabo, DPM

  • Podiatrist
  • Williamston, NC
National Provider Identifier
1730193228
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
448 Issued in NC
Practice address
411 W Main St
East Carolina Foot & Ankle Specialists PA
Williamston, NC 27892
Phone
(252) 809-1500
Fax
(252) 809-1505
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 448 NC Primary

Addresses

Primary practice location

411 W Main St
East Carolina Foot & Ankle Specialists PA
Williamston, NC 27892

Mailing address

PO Box 188
Williamston, NC 27892
Phone (252) 809-1500

Other identifiers 1

IdentifierTypeStateIssuer
89129WVMedicaidNC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000700 NC Practitioner - Podiatry 1052301744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie, NC 27910-3248
Phone (252) 209-3708

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of skin lesions32
Removal of nail tissue841
Removal or shaving of skin growth740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
448NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Dec 7, 2017 Accepting new patients
East Carolina Foot and Ankle Podiatrist CurrentSince Jul 19, 2001 Accepting new patients
East Carolina Foot and Ankle Specialists,PA Podiatrist CurrentSince Jul 19, 2001 Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

222 Virginia Rd
Ste 222
Edenton, NC 27932

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5200 N Croatan Hwy
Ste 2
Kitty Hawk, NC 27949
Phone (252) 255-6121

411 W Main St
Williamston, NC 27892
Phone (252) 809-1500

Interoperability endpoints

  • Direct secure messaging: msabo16083@direct.ecuhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1730193228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "27892",
            "telephone_number": "252-809-1500",
            "fax_number": "252-809-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST",
            "address_2": "EAST CAROLINA FOOT & ANKLE SPECIALISTS PA",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "27892",
            "telephone_number": "252-809-1500",
            "fax_number": "252-809-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129WV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

Verify at the official NPI Registry.