Joseph M Sack, MD, CMD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0422366 Issued in KS

Practice address

2020 N Tyler, Ste 114
Wichita, KS 67212-4916

Phone

(316) 462-0460

Fax

(316) 462-0465

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Wichita, KS, CCN 178088
• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Angels Care Hospice Hospice, Wichita, KS, CCN 171599
• Providence Home Health & Hospice LLC Hospice, Wichita, KS, CCN 171600
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127

  Limited Partnership Interest

  CMS ownership

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.

• Spectrum Family Medical Clinic, PA

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1912963067
  Medicare reassignment NPD
• Preferred Medical Associates

  • Family Medicine Physician
  • Andover, KS
  • NPI 1235310376
  NPD (past)

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

• E Medical Group of Kansas, Inc.

  • Home Health Agency
  • Wichita, KS
  • NPI 1043532294
  Care Compare affiliation
• Mother'S Touch Home Health and Hospice, Inc.

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1245615939
  Care Compare affiliation
• Proactive Home Care, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Providence Home Health & Hospice LLC.

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1467877571
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1962475343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N TYLER, STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124916",
            "telephone_number": "316-462-0460",
            "fax_number": "316-462-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N TYLER, STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124916",
            "telephone_number": "316-462-0460",
            "fax_number": "316-462-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD, CMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0422366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112800C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina Saadeh, M.D
• Veronica Toy Saathoff, DPT
• Diego A Saavedra, PA
• Caleb D Sabatka
• Sarah Sabir, MD
• Rajesh Kumar Sadasivuni, M.D.
• Angela B Sader, RDN, LD
• Suleman Sadiq, MD
• Toni L Sadler, PA-C
• Brad Saens

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.