Active NPI
Samir I. Sayegh, MD, PHD
- Ophthalmology Physician
- Champaign, IL
National Provider Identifier
1104918176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036103490
- Practice address
- 2151 S Neil St
Champaign, IL 61820-7593 - Phone
- (217) 359-3785
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036103490 | IL | Primary |
Addresses
Primary practice location
2151 S Neil St
Champaign, IL 61820-7593
Mailing address
2151 S Neil St
Champaign, IL 61820-7593
Phone (217) 352-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eyecenter_2020@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2151 S Neil St
Champaign, IL 61820-7593
Phone (217) 352-2020
Hospital & facility affiliations
- Osf Sacred Heart Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 98.87
- Improvement activities
- 40
- Cost
- 43.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103490 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Eye Associates LLC | Ophthalmology | Current | Accepting new patients |
| Julen'S Opticians, Inc. | Past | Accepting new patients | |
| C-U Eyecare LLC | Past | Accepting new patients | |
| Bond Eye Associates, S.C. | Past | Accepting new patients |
Locations
11710 Old Ballas Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 275-2020
Interoperability endpoints
- samir.sayegh.p1@direct.bondeye.nextgenshare.com
- ssayegh@eyesofnorthdakota.intellechartdirect.net
- ssayegh@directaddress.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Champaign, IL
- NPI 1356663967
-
- Ophthalmology Physician
- Pekin, IL
- NPI 1285725903
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1255478095
-
- Optician
- Canton, IL
- NPI 1104025485
-
- Optometrist
- Champaign, IL
- NPI 1144679853
-
- Eyewear Supplier
- Champaign, IL
- NPI 1700904059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1104918176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207593",
"telephone_number": "217-352-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207593",
"telephone_number": "217-359-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYEGH",
"first_name": "SAMIR",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036103490",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eyecenter_2020@yahoo.com",
"affiliation": "N",
"endpointDescription": "Business email",
"address_1": "2151 S Neil St",
"city": "Champaign",
"state": "IL",
"country_code": "US",
"postal_code": "618207593",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.