Individual provider Active NPI

Michael E Saridakis, DO

  • Family Medicine Physician
  • Broadview Heights, OH
National Provider Identifier
1164462875
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005683 Issued in OH
Practice address
1 Eagle Valley CT Ste 105
Broadview Heights, OH 44147-2982
Phone
(440) 537-7631
Fax
(440) 537-7631
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 34005683 OH Primary

Addresses

Primary practice location

1 Eagle Valley CT Ste 105
Broadview Heights, OH 44147-2982

Mailing address

1 Eagle Valley CT Ste 105
Broadview HTS, OH 44147-2982
Phone (440) 996-5872

Other identifiers 5

IdentifierTypeStateIssuer
000000129204OtherOHANTHEM
080158099OtherOHRAILROAD MEDICARE
0247070001OtherOHADMINISTAR
110671OtherOHKAISER
2736598MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 19, 2024 through Nov 19, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5683OHMDPsychologist
34005683OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Saridakis, Scanlon & Saridakis, Inc. Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msaridakis36033@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1164462875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLE VALLEY CT STE 105",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472982",
            "telephone_number": "440-996-5872",
            "fax_number": "440-970-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLE VALLEY CT STE 105",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472982",
            "telephone_number": "440-537-7631",
            "fax_number": "440-537-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIDAKIS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129204",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080158099",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "0247070001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "110671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2736598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.