NPIMap

Individual provider Active NPI

Daniel John Sabol, DO

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1740376177
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A130105 Issued in NM
Practice address
2130 Farmington Ave Ste a
Farmington, NM 87401-2123
Phone
(505) 325-2323
Fax
(505) 325-7172
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 A130105 NM Primary

Addresses

Primary practice location

2130 Farmington Ave Ste a
Farmington, NM 87401-2123

Mailing address

2130 Farmington Ave Ste a
Farmington, NM 87401-2123
Phone (505) 325-2323

Other identifiers 3

IdentifierTypeStateIssuer
10019838OtherLOVELACE
94683OtherPHP
004B23OtherNMBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20050817000697 NM Practitioner - Osteopathic Manipulative Medicine 4587608815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Practice PCGroup PAC ID 1153312970, 5 clinicians

Practice addresses (Care Compare)

2130 Farmington Ave
Suite a
Farmington, NM 87401-2123
Phone (505) 325-2323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
78.5
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130105NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Family Practice PC Family Medicine CurrentSince May 23, 2016 Accepting new patients

Locations

2130 Farmington Ave
Ste A
Farmington, NM 87401
Phone (505) 325-2323

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.

Hospital & facility affiliations 8

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1740376177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FARMINGTON AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012123",
            "telephone_number": "505-325-2323",
            "fax_number": "505-325-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FARMINGTON AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012123",
            "telephone_number": "505-325-2323",
            "fax_number": "505-325-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOL",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A130105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10019838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "94683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "004B23",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.