SAGE MEDICAL PROF LLC – NPI #1588156657
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
SAGE MEDICAL PROF LLC is a surgeon located in DAKOTA DUNES, SD. NPPES has assigned the NPI number 1588156657 to SAGE MEDICAL PROF LLC on June 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was last updated on Sep 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAGE MEDICAL PROF LLC below.
NPI Profile for
SAGE MEDICAL PROF LLC
(more than 8 years ago)
DAKOTA DUNES, SD 57049-5287 Phone: (319) 430-9340 Fax:
4 Other location(s):
Crystal Lake, IL 60014-3621
Phone: (815) 846-0037
Wheaton, IL 60187-3583
Phone: (815) 846-0037
Lees Summit, MO 64064-2369
Phone: (816) 647-0555
Rapid City, SD 57701-7305
Phone: (605) 503-8192
MEDICAL DIRECTOR, OWNER
Phone: (319) 430-9340
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SAGE MEDICAL PROF LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | STATE LICENSE | SD | 7960 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.