Kylee Nicole Sacksteder, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

201702355 Issued in NC

Practice address

937 Riverwalk Pkwy
Rock Hill, SC 29730-0178

Phone

(740) 566-4621

Fax

(740) 566-4622

NPI assigned

Feb 20, 2014

Last updated

Dec 7, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Dermatology

Education

Ohio University, College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.22 of 100Reported as group

Quality

90.79

Promoting interoperability

100

Improvement activities

40

Cost

89.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksacksteder@oakviewderm.emadirect.md

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.

• Oakview Dermatology

  • Dermatology Physician
  • Athens, OH
  • NPI 1063671063

  SC

  Medicare reassignment Care Compare group NPD
• Oakview Dermatology

  • Dermatology Physician
  • Rock Hill, SC
  • NPI 1942844667
  NPD (past)
• Piedmont Plastic Surgery and Dermatology

  • Dermatology Physician
  • Shelby, NC
  • NPI 1316056104
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1871918375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 RIVERWALK PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300178",
            "telephone_number": "740-566-4621",
            "fax_number": "740-566-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 RIVERWALK PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300178",
            "telephone_number": "740-566-4621",
            "fax_number": "740-566-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKSTEDER",
        "first_name": "KYLEE",
        "middle_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201702355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.