Ivana G Sacilotto, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301516102 Issued in MI

Practice address

8450 N 32ND St
Richland, MI 49083-9418

Phone

(269) 552-2500

Fax

(269) 552-2544

NPI assigned

Mar 22, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: isacilotto1149939@direct.hfhs.org

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1861195695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "269-552-2823",
            "fax_number": "269-552-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 N 32ND ST",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839418",
            "telephone_number": "269-552-2500",
            "fax_number": "269-552-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24911 Little Mack Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480803200",
            "country_code": "US",
            "telephone_number": "586-777-2050",
            "fax_number": "586-777-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACILOTTO",
        "first_name": "IVANA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301516102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861195695",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Rittenhouse, LMSW
• Corinne N Roller, PA-C
• Tate Rosenhagen, PA-C
• Rebecca Anne Runge, D.O.
• Tom T Saad, M.D.
• Danielle Elizabeth Samuel, PA-C
• Carol Parker Scharfenberg, MAOTR
• Select Orthopedic Supply
• Codi Alexis Sharp, DO
• Asyia Simmons

• Family Medicine Physician in Richland, MI
• Providers in Richland, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.

Verify at the official NPI Registry.