Individual provider Active NPI

Ashley Sachtleben, DO

  • Surgery Physician
  • Traverse City, MI
National Provider Identifier
1891950317
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101017680 Issued in MI
Practice address
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone
(231) 935-2400
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101017680 MI Primary

Addresses

Primary practice location

1221 Sixth St Ste 300
Traverse City, MI 49684-2360

Mailing address

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 935-2400

Other practice location 1

701 W Front St
Ste 200
Traverse City, MI 49684-2287
Phone (231) 346-4023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.sachtleben@gts.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130829000411 MI Practitioner - General Surgery 3577706142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Suite 211
Traverse City, MI 49684-2345
Phone (231) 935-7227

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy46
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017860MIMDOrthopaedic Surgery Physician
5101017680MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Aug 31, 2013 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Aug 31, 2013 Accepting new patients
Munson Medical Center Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640

1105 Sixth St
Ste 211
Traverse City, MI 49684
Phone (231) 392-8400

701 W Front St
Ste 200
Traverse City, MI 49684
Phone (231) 346-4000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1891950317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST STE 300",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842360",
            "telephone_number": "231-935-2400",
            "fax_number": "231-935-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST STE 300",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842360",
            "telephone_number": "231-935-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Front St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842287",
            "country_code": "US",
            "telephone_number": "231-346-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHTLEBEN",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.sachtleben@gts.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1221 Sixth St Ste 300",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.