Individual provider Active NPI

Samir I. Sayegh, MD, PHD

  • Ophthalmology Physician
  • Champaign, IL
National Provider Identifier
1104918176
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036103490 Issued in IL
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

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000496 IL Practitioner - Ophthalmology 5991747297 Reassigns benefits to 2 organizations

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 Hospital, Danville, IL, CCN 140093

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
98.87
Improvement activities
40
Cost
43.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103490ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Eye Associates LLC Ophthalmology CurrentSince Oct 13, 2008 Accepting new patients
Julen'S Opticians, Inc. Past Accepting new patients
C-U Eyecare LLC PastSince Jul 27, 2016 Accepting new patients
Bond Eye Associates, S.C. PastSince Mar 24, 2009 Accepting new patients

Locations

11710 Old Ballas Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 275-2020

Interoperability endpoints

  • Direct secure messaging: samir.sayegh.p1@direct.bondeye.nextgenshare.com
  • Direct secure messaging: ssayegh@eyesofnorthdakota.intellechartdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.