Active NPI
Douglas A. Sakmar, M.D.
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1821064841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33445
- Practice address
- 12348 Old Tesson Rd
Suite 160
Saint Louis, MO 63128-2215 - Phone
- (314) 467-3800
- Fax
- (314) 467-3801
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33445 | MO | Primary |
Addresses
Primary practice location
12348 Old Tesson Rd
Suite 160
Saint Louis, MO 63128-2215
Mailing address
12348 Old Tesson Rd
Suite 160
Saint Louis, MO 63128-2215
Phone (314) 467-3800
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33445 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1821064841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12348 OLD TESSON RD",
"address_2": "SUITE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282215",
"telephone_number": "314-467-3800",
"fax_number": "314-467-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12348 OLD TESSON RD",
"address_2": "SUITE 160",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282215",
"telephone_number": "314-467-3800",
"fax_number": "314-467-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKMAR",
"first_name": "DOUGLAS",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "33445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.