Active NPI
Jesse M Sabiiti, MD
- Internal Medicine Physician
- Kenmare, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10658
- Practice address
- 307 1St Ave. NW
Kenmare, ND 58746 - Phone
- (701) 385-4283
- Fax
- (701) 385-4282
- NPI assigned
- Aug 24, 2007
- Last updated
- Nov 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 44710 | KY | |
| Hospitalist Physician | 208M00000X | MD217211 | OR | |
| Hospitalist Physician | 208M00000X | 2016-00142 | NC | |
| Internal Medicine Physician | 207R00000X | 10658 | ND | Primary |
Addresses
Primary practice location
307 1St Ave. NW
Kenmare, ND 58746
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100178620 | Medicaid | KY | |
| 000000729955 | Other | KY | BCBS |
| P00977424 | Other | KY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NC, OR, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5545
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000
364 White Oak St
Asheboro, NC 27203-5434
Phone (786) 985-3895
503 N Fayetteville St
Asheboro, NC 27203-4728
Phone (336) 626-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10658 | ND | MD | Internal Medicine Physician |
| 2016-00142 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Health Partners LLC | Hospitalist | Current | Accepting new patients |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Waukegan Clinic Corp | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services Inc | Hospitalist | Current | Accepting new patients |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Buffalo Trail Inpatient Services, LLC | Hospitalist | Past | Accepting new patients |
| Hsa Louisiana Physician Group Inc | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Past | Accepting new patients |
Locations
6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
124 N Park St
Asheboro, NC 27203
Phone (336) 625-1007
237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248
364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151
503 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-2688
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
- jsabiiti3079818@oc.providencedirect.org
Organizations & group practices 19
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.
-
- Otolaryngology Physician
- Asheboro, NC
- NPI 1194310235
-
dba Providence Medical Group South
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
Internal Medicine
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
dba Providence Medford Medical Center
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
dba Deaconess Henderson Hospital Providers
- Hospitalist Physician
- Henderson, KY
- NPI 1679718100
-
- Pediatrics Physician
- Asheboro, NC
- NPI 1184219222
-
dba Randolph Health Cardiology
- Cardiovascular Disease Physician
- Asheboro, NC
- NPI 1346078425
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheboro, NC
- NPI 1942895081
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
dba Providence Medford Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
-
dba Vista Medical Center East
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1932392693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5650",
"fax_number": "701-857-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 1ST AVE. NW",
"city": "KENMARE",
"state": "ND",
"postal_code": "58746",
"telephone_number": "701-385-4283",
"fax_number": "701-385-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIITI",
"first_name": "JESSE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "44710",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD217211",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2016-00142",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "10658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100178620",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000729955",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00977424",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenmare, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.