HEIDI JEANNETTE SABATURA
NPI 1558178442
Student in an Organized Health Care Education/Training Program in Charlotte, NC

NPI Status: Active since December 13, 2024

Contact Information

7810 PROVIDENCE RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 543-6636
Fax: (704) 752-4185

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  • Individual
  • Female
  • Years of Experience 2
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About HEIDI SABATURA

This page provides the complete NPI Profile along with additional information for Heidi Sabatura, a primary care provider established in Charlotte, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1558178442 assigned on December 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1558178442
Provider Name
HEIDI JEANNETTE SABATURA
Gender
Female
Entity Type
Individual
Location Address
7810 PROVIDENCE RD CHARLOTTE, NC 28226
Location Phone
(704) 543-6636
Location Fax
(704) 752-4185
Mailing Address
127 GREAT OAK DR HAMPSTEAD, NC 28443
Mailing Phone
(609) 903-5266
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
12-13-2024
Last Update Date
12-13-2024
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A primary care provider (PCP) like Heidi Sabatura sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Local Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Atrium Health - EPO
  • Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Silver Simple Chronic Care CKM | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Heidi Sabatura is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Heidi Sabatura is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890217285

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250314000887

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Heidi Sabatura is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CAROLINAS MEDICAL CENTER/BEHAV HEALTH1000 BLYTHE BLVD
CHARLOTTE, NC 28203
(704) 355-2000Acute Care Hospitals

Reviews for HEIDI JEANNETTE SABATURA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558178442, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 2 + 7 + 1 + 6 + 4 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558178442.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
7810 PROVIDENCE RD, SUITE 100
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226
Physician Assistant (Medical)
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226
Emergency Medicine
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226
Nurse Practitioner (Obstetrics & Gynecology)
7810 PROVIDENCE RD, SUITE 105
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 105
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, STE 102
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 101
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 101
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 101
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 101
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 105
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, STE 102
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 105
CHARLOTTE, NC 28226
Physician Assistant
7810 PROVIDENCE RD, STE 102
CHARLOTTE, NC 28226
Obstetrics & Gynecology
7810 PROVIDENCE RD, STE 105
CHARLOTTE, NC 28226
Family Medicine
7810 PROVIDENCE RD, STE 102
CHARLOTTE, NC 28226
Nurse Practitioner
7810 PROVIDENCE RD, SUITE 102
CHARLOTTE, NC 28226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558178442, enumerated as an "individual" on December 13, 2024.

The provider is located at 7810 PROVIDENCE RD CHARLOTTE, NC 28226 and the phone number is (704) 543-6636.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and Oscar Health. Please consult your insurance carrier or call the provider to verify.

Heidi Sabatura is affiliated with: CAROLINAS MEDICAL CENTER/BEHAV HEALTH.