Individual provider Active NPI

Matthew Carl Sardelli, MD

  • Orthopaedic Surgery Physician
  • Clarkston, MI
National Provider Identifier
1992992705
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301084379 Issued in MI
Practice address
5680 Bow Pointe Dr Ste 102
Clarkston, MI 48346-5407
Phone
(248) 792-0037
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4301084379 MI
Orthopaedic Surgery Physician 207X00000X 4301084379 MI Primary

Addresses

Primary practice location

5680 Bow Pointe Dr Ste 102
Clarkston, MI 48346-5407

Mailing address

5701 Bow Pointe Dr Ste 300
Clarkston, MI 48346-5402
Phone (248) 792-0037

Other practice location 1

861 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone (810) 953-0500

Other identifiers 2

IdentifierTypeStateIssuer
1992992705MedicaidMI
0N45090OtherMIGRP MEDICARE

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
I20100916000650 MI Practitioner - Orthopedic Surgery 3779636816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sardelli Orthopaedics PLLCGroup PAC ID 4284004623, 2 clinicians
Greater Flint Sports Medicine Center PCGroup PAC ID 2264332097, 11 clinicians

Practice addresses (Care Compare)

5680 Bow Pointe Dr
Suite 102
Clarkston, MI 48346-5407
Phone (248) 792-0037

861 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone (810) 953-0500

Hospital & facility affiliations

  • Absolute Home Health Care Home health agency, Grand Blanc, MI, CCN 237732
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Sep 8, 2010 Accepting new patients
Sardelli Orthopaedics PLLC Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Greater Flint Sports Medicine Center PC Orthopaedic Surgery CurrentSince Jan 3, 2025 Accepting new patients
Hurley Medical Center Current Accepting new patients
Sardelli Orthopaedics PLLC Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Hurley Medical Center Orthopaedic Surgery CurrentSince Sep 8, 2010 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 300
Clarkston, MI 48346
Phone (248) 379-4246

6400 Waldon Center Dr
Clarkston, MI 48346
Phone (248) 265-3001

5680 Bow Pointe Dr
Ste 102
Clarkston, MI 48346
Phone (248) 221-1845

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

861 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 953-0095

204 W Buttles St
Midland, MI 48640

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

Interoperability endpoints

  • Direct secure messaging: matthewsardelli@gmoortho.directglo.com
  • Direct secure messaging: msardelli1150244@direct.hfhs.org
  • Direct secure messaging: matthewsardelli@sardelli.directglo.com

Organizations & group practices 6

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 5

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1992992705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465402",
            "telephone_number": "248-792-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 BOW POINTE DR STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465407",
            "telephone_number": "248-792-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484397383",
            "country_code": "US",
            "telephone_number": "810-953-0500",
            "fax_number": "810-953-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDELLI",
        "first_name": "MATTHEW",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301084379",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301084379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992992705",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICARE",
            "identifier": "0N45090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.