NPIMap

Individual provider Active NPI

Ibnalwalid A Saad, M.D.

  • Surgery Physician
  • Carlisle, PA
National Provider Identifier
1154609626
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD469424 Issued in PA
Practice address
19 Sprint Dr Ste 3
Carlisle, PA 17015-7002
Phone
(717) 713-2100
Fax
(717) 713-2101
NPI assigned
Aug 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 40042 SC
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MD469424 PA Primary

Addresses

Primary practice location

19 Sprint Dr Ste 3
Carlisle, PA 17015-7002

Mailing address

19 Sprint Dr Ste 2
Carlisle, PA 17015-7002

Other identifiers 1

IdentifierTypeStateIssuer
103731235MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isaad170085@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200106002045 SC Practitioner - General Surgery 6103157904 Reassigns benefits to 1 organization
I20200204002710 PA Practitioner - General Surgery 6103157904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19 Spring Dr
Suite 3
Carlisle, PA 17015-7002
Phone (717) 713-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Feb 1, 2020 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Pinnacle Health Regional Physicians Surgery CurrentSince Feb 1, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 18, 2019 Accepting new patients
Prisma Health University Medical Group Surgery CurrentSince Nov 18, 2019 Accepting new patients
Pinnacle Health Medical Services Surgery Past Accepting new patients
Upmc Carlisle Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

19 Sprint Dr
Ste 2
Carlisle, PA 17015
Phone (717) 218-8880

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2000 Scotland Ave
Chambersburg, PA 17201
Phone (717) 263-7788

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

890 W Faris Rd
Ste 310
Greenville, SC 29605
Phone (864) 455-8300

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1154609626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SPRINT DR STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPRINT DR STE 3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157002",
            "telephone_number": "717-713-2100",
            "fax_number": "717-713-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "IBNALWALID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "40042",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD469424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103731235",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isaad170085@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "19 Sprint Dr Ste 3",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170157002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.