NPIMap

Individual provider Active NPI

George P Saridakis, DO

  • Family Medicine Physician
  • Parma, OH
National Provider Identifier
1245287879
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003324 Issued in OH
Practice address
1057 Rockside Rd
Parma, OH 44134-2700
Phone
(440) 743-8118
Fax
(216) 201-4155
NPI assigned
May 28, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0004883 FL
Family Medicine Physician 207Q00000X 34003324 OH Primary

Addresses

Primary practice location

1057 Rockside Rd
Parma, OH 44134-2700

Mailing address

1057 Rockside Rd
Parma, OH 44134-2700
Phone (440) 743-8118

Other identifiers 7

IdentifierTypeStateIssuer
042030OtherOHSELECT CARE
000000129203OtherOHANTHEM
080051444OtherOHRAILROAD MEDICARE
0247070001OtherOHADMINISTAR
110874OtherOHKAISER
341264676000EOtherOHAETNA
0491801MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address georgesaridakis@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000128 OH Practitioner - Family Practice 4789618133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1057 Rockside Rd
Parma, OH 44134-2700
Phone (440) 743-8118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004883FLMDFamily Medicine Physician
34003324OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2014 Accepting new patients
DRS. Saridakis, Scanlon & Saridakis, Inc. Family Medicine PastSince Jul 1, 2003 Accepting new patients
University Hospitals Regional Practices LLC Family Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1057 Rockside Rd
Parma, OH 44134
Phone (440) 743-8118

Interoperability endpoints

  • Direct secure messaging: gsaridakis21070@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1245287879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118",
            "fax_number": "216-201-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118",
            "fax_number": "216-201-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIDAKIS",
        "first_name": "GEORGE",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-01-13",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0004883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "042030",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129203",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080051444",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "0247070001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "110874",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "341264676000E",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491801",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georgesaridakis@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1057 Rockside Rd",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441342700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.