Individual provider Active NPI

David Ehab Sargious, DO

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1104616705
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58.035153 Issued in OH
Practice address
4461 State Route 159 Ste a
Chillicothe, OH 45601-6000
Phone
(740) 779-4900
Fax
(740) 779-4909
NPI assigned
May 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.035153 OH Primary

Addresses

Primary practice location

4461 State Route 159 Ste a
Chillicothe, OH 45601-6000

Mailing address

4270 Pebble Beach Dr
Canfield, OH 44406-9041

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
I20250728000138 OH Order and Referring Only - Family PracticePractitioner - Family Practice 8123535986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.035153OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1104616705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 PEBBLE BEACH DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STATE ROUTE 159 STE A",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456016000",
            "telephone_number": "740-779-4900",
            "fax_number": "740-779-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGIOUS",
        "first_name": "DAVID",
        "middle_name": "EHAB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.035153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.