Individual provider Active NPI

Christopher E. Sacco, DPM

  • Podiatrist
  • Lewiston, ME
National Provider Identifier
1841300837
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD240 Issued in ME
Practice address
287 Main St
Ste. 200
Lewiston, ME 04240-7054
Phone
(207) 782-2256
Fax
(207) 514-7651
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD240 ME Primary

Addresses

Primary practice location

287 Main St
Ste. 200
Lewiston, ME 04240-7054

Mailing address

287 Main St
Ste. 200
Lewiston, ME 04240-7054
Phone (207) 782-2256

Other identifiers 1

IdentifierTypeStateIssuer
124970099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050706000861 ME Practitioner - Podiatry 8628014107 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Central Maine Clinical Associates CurrentSince Apr 1, 2015 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Central Maine Clinical Associates Corporation CurrentSince Apr 1, 2015 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Rumford Community Family Health Center, Inc. Past Accepting new patients

Locations

280 Minot Ave
Auburn, ME 04210
Phone (207) 782-2256

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

76 High St
Ste 203
Lewiston, ME 04240
Phone (207) 782-2256

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

287 Main St
Ste 200
Lewiston, ME 04240
Phone (207) 786-3571

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1841300837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE. 200",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-782-2256",
            "fax_number": "207-514-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE. 200",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-782-2256",
            "fax_number": "207-514-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "CHRISTOPHER",
        "middle_name": "E.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124970099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.