Individual provider Active NPI

Sara Elizabeth Sacco, M.D.

  • Specialist
  • Matthews, NC
National Provider Identifier
1861436214
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33740 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 310
Matthews, NC 28105-2389
Phone
(704) 844-6615
Fax
(704) 844-6879
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33740 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 310
Matthews, NC 28105-2389

Mailing address

1450 Matthews Township Pkwy Ste 310
Matthews, NC 28105-2389
Phone (704) 844-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111010000003 NC Practitioner - Neurology 0941472294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 310
Matthews, NC 28105-2389
Phone (704) 844-6615

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Headache Clinic Specialist CurrentSince May 1, 2001 Accepting new patients
Mecklenburg Neurological Associates, PA PastSince Jul 1, 1994 Accepting new patients

Locations

1450 Matthews Township Pkwy
Ste 310
Matthews, NC 28105
Phone (704) 841-7225

1450 Matthews Township Pkwy
Ste 340
Matthews, NC 28105
Phone (704) 844-6615

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1861436214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 310",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052389",
            "telephone_number": "704-844-6615",
            "fax_number": "704-844-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 310",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052389",
            "telephone_number": "704-844-6615",
            "fax_number": "704-844-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "33740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.