Individual provider Active NPI

Fredy Hany-Alfy El Sakr

  • Interventional Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1780947390
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
83237 Issued in GA
Practice address
1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone
(404) 962-6000
Fax
(404) 962-6001
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 83237 GA
Interventional Cardiology Physician 207RI0011X 83237 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191022000477 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709186851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1110 W Peachtree St NE
Suite 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

1110 W Peachtree St NW
Suite 920
Atlanta, GA 30309-3609
Phone (404) 962-6000

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1255 Friendship Rd
Suite 210
Braselton, GA 30517-5619
Phone (404) 962-6000

1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565

2000 Howard Farm Dr
Suite 450
Cumming, GA 30041-6085
Phone (404) 962-6000

2200 Medical Ctr Blvd
Suite 200
Lawrenceville, GA 30046-7765
Phone (404) 962-6000

2200 Medical Ctr Blvd
Suite G1
Lawrenceville, GA 30046-7751
Phone (404) 962-2500

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

470 Northside Cherokee Blvd
Canton, GA 30115-8029

6135 Barfield Rd
Suite 100
Sandy Springs, GA 30328-4308
Phone (678) 223-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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 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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1780947390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 920",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-962-6000",
            "fax_number": "404-962-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL SAKR",
        "first_name": "FREDY",
        "middle_name": "HANY-ALFY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "83237",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "83237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.