Individual provider Active NPI

Bassam Sayegh, MD

  • Surgery Physician
  • Jupiter, FL
National Provider Identifier
1285643296
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME76049 Issued in FL
Practice address
224 Chimney Corner LN
Suite #1026
Jupiter, FL 33458-4800
Phone
(561) 743-7766
Fax
(561) 744-6020
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME76049 FL Primary
Vascular Surgery Physician 2086S0129X ME76049 FL

Addresses

Primary practice location

224 Chimney Corner LN
Suite #1026
Jupiter, FL 33458-4800

Mailing address

224 Chimney Corner LN
Suite #1026
Jupiter, FL 33458-4800
Phone (561) 743-7766

Other identifiers 1

IdentifierTypeStateIssuer
255759200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081014000541 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 1153499421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bassam Sayegh MD PAGroup PAC ID 3577621762, 2 clinicians

Practice addresses (Care Compare)

224 Chimney Corner LN
Suite 1026
Jupiter, FL 33458-4801
Phone (561) 743-7766

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)95
Varicose vein removal16
Melanoma (skin cancer) excision45
Leg revascularization (restoring blood flow)58
Removal of tissue302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76049FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minimal Invasive Surgery Center,LLC CurrentSince Jun 10, 2011 Accepting new patients
Bassam Sayegh MD PA Surgery CurrentSince Nov 5, 2007 Accepting new patients
Ohio Sayegh Medical, Corp PastSince Feb 10, 2014 Accepting new patients
Jupiter Medical Center Physicians Group Inc Surgery Past Accepting new patients
Barry M. Miskin, MD PA Past Accepting new patients

Locations

224 Chimney Corner Ln
Ste 1026
Jupiter, FL 33458
Phone (561) 743-7766

Interoperability endpoints

  • Direct secure messaging: bsayegh20793@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1285643296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LN",
            "address_2": "SUITE #1026",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584800",
            "telephone_number": "561-743-7766",
            "fax_number": "561-744-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LN",
            "address_2": "SUITE #1026",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584800",
            "telephone_number": "561-743-7766",
            "fax_number": "561-744-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEGH",
        "first_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME76049",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME76049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255759200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.