Individual provider Active NPI

Victor A Sacchi Jr., MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1780640284
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
133999 Issued in NY
Practice address
135 Corporate Woods Ste 200C
Rochester, NY 14623
Phone
(585) 784-7848
Fax
(585) 784-7844
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 133999 NY
Internal Medicine Physician 207R00000X 133999 NY Primary

Addresses

Primary practice location

135 Corporate Woods Ste 200C
Rochester, NY 14623

Mailing address

135 Corporate Woods Ste 200C
Rochester, NY 14623-1459
Phone (585) 784-7848

Other identifiers 1

IdentifierTypeStateIssuer
01165264MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133999NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Em-III Medical Services, PC Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1780640284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231459",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCHI",
        "first_name": "VICTOR",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "133999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "133999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01165264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.