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MR. ROD SACLOLO M.D
NPI 1396809091
Internal Medicine in New York, NY

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
20 W 86TH ST STE 1A, NEW YORK, NY 10024(212) 799-1600(212) 477-2885 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Rod Saclolo M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROD SACLOLO M.D (NPI 1396809091) is an individual internal medicine provider in New York, New York, licensed in New York (199682) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1396809091
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ROD SACLOLOCredential: M.D
Location Address20 W 86TH ST STE 1ANew York, NY 10024-3604
Mailing Address20 W 86th St Ste 1aNew York, NY 10024-3604 · (212) 799-1600 · Fax (212) 477-2885
Phone(212) 799-1600
Fax(212) 477-2885
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396809091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 199682
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20 W 86TH ST STE 1A, New York, NY 10024
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Other Identifiers 3

Medicare ID-Type Unspecified23N501NY
Medicare UPING12881NY
Medicaid01761628NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rod Saclolo M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810013711
PECOS Enrollment IDI20100929000026
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rod Saclolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prominis Medical Services PC
6.6 mi
Internal Medicine
332 DEKALB AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1841323771 (718) 852-5252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SACLOLO WELLNESS INSTITUTE
Internal Medicine
20 W 86TH ST STE 1A
NEW YORK, NY 10024
New York County (212) 490-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rod Saclolo's NPI number?

The NPI number for Rod Saclolo is 1396809091. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Rod Saclolo located?

Rod Saclolo practices at 20 W 86th St Ste 1A, New York, NY 10024. The listed phone number is (212) 799-1600.

What is Rod Saclolo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rod Saclolo enrolled in Medicare?

Yes. Rod Saclolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rod Saclolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rod Saclolo reassigns Medicare benefits to Prominis Medical Services PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rod Saclolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rod Saclolo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.