Individual provider Active NPI

Alan R Sacolick, MD

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1790784783
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35052319 Issued in OH
Practice address
750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone
(614) 434-2400
Fax
(614) 434-2499
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35052319 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553

Mailing address

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone (614) 434-2400

Other identifiers 1

IdentifierTypeStateIssuer
0868280MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000291 OH Practitioner - Obstetrics/Gynecology 6305854381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Obstetricians - Gynecologists, Inc.Group PAC ID 5597666453, 27 clinicians

Practice addresses (Care Compare)

3750 Ridge Mill Dr
Hilliard, OH 43026-9231
Phone (614) 228-5451

Hospital & facility affiliations

  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052319OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Obstetricians - Gynecologists, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 1987 Accepting new patients
Columbus Obstetricians - Gynecologists, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

1125 Yard St
#200
Columbus, OH 43212

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

6075 E Broad St
Columbus, OH 43213
Phone (614) 759-8660

7450 Hospital Dr
Ste 280
Dublin, OH 43016
Phone (614) 221-5189

1125 Yard St
Ste 200
Grandview Heights, OH 43212
Phone (614) 434-2421

3750 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 228-5451

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 6

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1790784783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACOLICK",
        "first_name": "ALAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35052319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.