Individual provider Active NPI

Sandra Massullo-Schubert, M.D

  • Internal Medicine Physician
  • Cambridge, OH
National Provider Identifier
1023062700
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067486 Issued in OH
Practice address
1230 Clark St Ste a
Cambridge, OH 43725-9611
Phone
(740) 439-7772
NPI assigned
May 19, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067486 OH Primary
Pediatrics Physician 208000000X 35067486 OH

Addresses

Primary practice location

1230 Clark St Ste a
Cambridge, OH 43725-9611

Mailing address

1251 Clark St
Cambridge, OH 43725-9612
Phone (740) 439-0733

Other practice location 1

9711 E Pike Rd
Cambridge, OH 43725-8936
Phone (740) 432-7440

Other identifiers 1

IdentifierTypeStateIssuer
0238942MedicaidOH

Other names 1

  • Sandra Massullo-Schubert Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schubert@hospiceofguernsey.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100518000400 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2567591258 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Cambridge Inc. Internal Medicine CurrentSince Jul 10, 2017 Accepting new patients
Hospice of Guernsey Inc CurrentSince Jun 13, 2022 Accepting new patients
Hospice of Guernsey Inc Internal Medicine PastSince Jun 13, 2022 Accepting new patients

Locations

1515 Maple Dr
Cambridge, OH 43725
Phone (740) 439-3515

9711 E Pike Rd
Cambridge, OH 43725
Phone (740) 432-7440

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: schubert@hospiceofguernsey.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Guernsey IncCambridge, OH, CCN 361511 Hospice W-2 Managing Employee Jun 13, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1023062700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612",
            "telephone_number": "740-439-0733",
            "fax_number": "740-439-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CLARK ST STE A",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259611",
            "telephone_number": "740-439-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 E Pike Rd",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437258936",
            "country_code": "US",
            "telephone_number": "740-432-7440",
            "fax_number": "740-432-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSULLO-SCHUBERT",
        "first_name": "SANDRA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067486",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35067486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238942",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schubert@hospiceofguernsey.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9711 E Pike Rd",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437258936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MASSULLO-SCHUBERT",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.