Individual provider Active NPI

Samir Abraksia, M.D.

  • Specialist
  • Beachwood, OH
National Provider Identifier
1275638199
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35061538 Issued in OH
Practice address
4200 Warrensville Center Rd
Beachwood, OH 44122-7051
Phone
(216) 491-6438
Fax
(330) 562-9417
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35061538 OH Primary

Addresses

Primary practice location

4200 Warrensville Center Rd
Beachwood, OH 44122-7051

Mailing address

2732 Sinton PL
Pepper Pike, OH 44124-4630
Phone (216) 595-0549

Other identifiers 9

IdentifierTypeStateIssuer
1347023OtherOHFIRST HLT
1974049001OtherOHCIGNA INS
900002534OtherOHRR MEDICARE
3000153OtherOHUNITED HLTHCARE/SO POINT
4649556OtherOHAETNA NON HMO
2106881OtherOHAETNA HMO
328195OtherOHPRIME HLTH CORP
0972407MedicaidOH
3000216OtherOHUNITED HLTHCARE/HURON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070221000553 OH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9133221112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061538OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince May 23, 2013 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Suburban Hematology Oncology Inc Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

20050 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 283-0750

4200 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 291-8778

4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552

Interoperability endpoints

  • Direct secure messaging: sabraksia32900@direct.ccf.org

Organizations & group practices 3

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 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1275638199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 SINTON PL",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244630",
            "telephone_number": "216-595-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-491-6438",
            "fax_number": "330-562-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAKSIA",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35061538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HLT",
            "identifier": "1347023",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INS",
            "identifier": "1974049001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "900002534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE/SO POINT",
            "identifier": "3000153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "4649556",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2106881",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HLTH CORP",
            "identifier": "328195",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972407",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE/HURON",
            "identifier": "3000216",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.