Kimberly Sackheim, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

248479 Issued in NY

Practice address

8 E 83Rd St Ste 1a
New York, NY 10028-0418

Phone

(646) 808-3220

Fax

(212) 244-6833

NPI assigned

Jun 16, 2008

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elena Frid MD PC

  • Neurology Physician
  • New York, NY
  • NPI 1205125036
  NPD (past)
• Lawrence P. Kempf Medical Practice PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1700610391
  NPD (past)
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD (past)
• North Florida Pain Medicine

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1629301841
  NPD (past)
• Robert Sackheim,M.D.

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1689031619
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1801056551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E 83RD ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280418",
            "telephone_number": "646-808-3220",
            "fax_number": "212-244-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E 83RD ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280418",
            "telephone_number": "646-808-3220",
            "fax_number": "212-244-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKHEIM",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "248479",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "248479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Sacio, LMSW
• Daniel Philip Sack, MD
• Laura Sack
• Emalee Sackett
• Julian Sackey
• Melanie Sackheim, LMHC
• Jenna Molly Sackman, MHC-LP
• Jonathan David Sackner-Bernstein, M.D.
• Andrew Sackrison
• Amanda L Sacks-Zimmerman, PH.D.

• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.