KEITH SACCO MD
NPI 1780049759
Allergy & Immunology in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Allergy & Immunology with taxonomy code 207K00000X.

Active since December 17, 2015PECOS EnrolledAccepts Medicare Assignment

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2026, Jan 7, 2026, Dec 16, 2025 and 3 more (6 updates tracked since 2015).

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About Keith Sacco Md NPPES

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

KEITH SACCO MD (NPI 1780049759) is an individual allergy & immunology provider in Jacksonville, Florida, licensed in Florida (ME174436) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780049759

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameKEITH SACCOCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 17, 2015

Last NPPES UpdateJanuary 20, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1780049759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Licenses✔ Licensed in FL · ME174436✔ Licensed in AZ · 62060

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-4063 · Fax (602) 933-2423

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Sacco Md 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 ID4183914971

PECOS Enrollment IDI20260127001873

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.