Jordy Steven Sacksner, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

JS059227 Issued in MI

Practice address

6900 Orchard Lake Rd
Suite 203
West Bloomfield, MI 48322-3405

Phone

(248) 865-2575

Fax

(248) 865-2590

NPI assigned

Dec 12, 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 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

Specialty

Colorectal Surgery (Proctology)Also: General Surgery

Education

Northwestern University Feinberg Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsacksner44511@direct.trinity-health.org

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.

• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment Care Compare group NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  MI

  Medicare reassignment NPD
• Michigan Colon & Rectal Surgeons, PC

  • Colon & Rectal Surgery Physician
  • Southfield, MI
  • NPI 1093749095
  NPD
• Michigan Healthcare Professionals PC

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  NPD (past)
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  NPD (past)

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

• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1962563056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY",
            "address_2": "STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-865-2575",
            "fax_number": "248-865-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD",
            "address_2": "SUITE 203",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223405",
            "telephone_number": "248-865-2575",
            "fax_number": "248-865-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKSNER",
        "first_name": "JORDY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "JS059227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962563056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore J Ruza, DO PC
• Kelsey Ryan, NP
• Noelle Ryan, PHARMD, BS PHARM
• John Joseph Saab, D.C.
• Natalie Lynn Saba
• Sergio A Saco, PT, DPT
• Safe Transportation LLC
• Cimone Safilian
• Brooke Sheena Sagherian, MS CCC-SLP
• Mark Harold Saidman, DDS

• Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.