Individual provider Active NPI

Sy Tsi, MD

  • Urology Physician
  • Corona, CA
National Provider Identifier
1194743864
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A74951 Issued in CA
Practice address
801 S. Main St.
Suite 201
Corona, CA 92882
Phone
(951) 735-2700
Fax
(951) 256-8255
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A74951 CA Primary

Addresses

Primary practice location

801 S. Main St.
Suite 201
Corona, CA 92882

Mailing address

801 S. Main St.
Suite 201
Corona, CA 92882
Phone (951) 735-2700

Other identifiers 1

IdentifierTypeStateIssuer
00A749510MedicaidCA

Other names 1

  • Sivixay Sy Sayasack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040315001332 CA Practitioner - Urology 9537058508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Center of Southern California Medical Group IncGroup PAC ID 6406745439, 7 clinicians

Practice addresses (Care Compare)

3975 Jackson St
Suite 308
Riverside, CA 92503-3951
Phone (951) 687-8730

801 S Main St
Suite 201
Corona, CA 92882-3410
Phone (951) 735-2700

Hospital & facility affiliations

  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Urology, Inc. Urology CurrentSince Jun 1, 2019 Accepting new patients
Urology Center of Southern California Medical Group Inc Urology CurrentSince Nov 21, 2003 Accepting new patients
Urology Center of Southern California Medical Group Inc Urology CurrentSince Nov 21, 2003 Accepting new patients
Urology Center of So Calif Medical Group Inc Urology Current Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
The Urology Center of Southern California Medical Group ,Inc. Urology Past Accepting new patients

Locations

801 S Main St
Ste 201
Corona, CA 92882
Phone (951) 735-2700

1820 Fullerton Ave
Ste 260
Corona, CA 92881
Phone (909) 735-2700

15775 Laguna Canyon Rd
Ste 200
Irvine, CA 92618
Phone (888) 827-7383

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

28078 Baxter Rd
Ste 450
Murrieta, CA 92563
Phone (951) 677-3000

4500 Brockton Ave
Ste 301
Riverside, CA 92501
Phone (951) 276-4505

3975 Jackson St
Riverside, CA 92503
Phone (951) 352-2092

3975 Jackson St
Ste 308
Riverside, CA 92503
Phone (951) 687-8730

14642 Newport Ave
Ste 470
Tustin, CA 92780
Phone (714) 573-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sxt103pcs@m706.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: stsi182169@direct.llu.edu

Organizations & group practices 13

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.

View all 13

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1194743864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S. MAIN ST.",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-735-2700",
            "fax_number": "951-256-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S. MAIN ST.",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-735-2700",
            "fax_number": "951-256-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSI",
        "first_name": "SY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A74951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A749510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIVIXAY",
            "last_name": "SAYASACK",
            "middle_name": "SY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.