Individual provider Active NPI

Sanjeev Dewan, M.D.

  • Ophthalmology Physician
  • Alliance, OH
National Provider Identifier
1295702066
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35061557 Issued in OH
Practice address
985 S Sawburg Rd
Alliance, OH 44601-3515
Phone
(330) 823-1680
Fax
(330) 823-3831
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 35.061557 OH
Ophthalmology Physician 207W00000X 35061557 OH Primary

Addresses

Primary practice location

985 S Sawburg Rd
Alliance, OH 44601-3515

Mailing address

985 S Sawburg Rd
Alliance, OH 44601-3515
Phone (330) 823-1680

Other identifiers 1

IdentifierTypeStateIssuer
0850280MedicaidOH

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
I20100910000567 OH Practitioner - Ophthalmology 1254389984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Alliance, Inc.Group PAC ID 3173571809, 3 clinicians

Practice addresses (Care Compare)

3645 Stutz Dr B
Canfield, OH 44406-9168
Phone (330) 533-1041

4469 Fulton Dr NW
Suite 100
Canton, OH 44718-2855
Phone (330) 966-8461

985 S Sawburg Ave
Alliance, OH 44601-3515
Phone 33082316801109

985 S Sawburg Rd
Alliance, OH 44601-3515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061557OHMDOphthalmology Physician
35.061557OHMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Alliance, Inc. Ophthalmology CurrentSince Jan 1, 1996 Accepting new patients

Locations

975 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

985 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

3645 Stutz Dr
Canfield, OH 44406
Phone (330) 726-9570

3645 Stutz Dr
Ste B
Canfield, OH 44406

3645 Stutz Dr
#B
Canfield, OH 44406
Phone (330) 533-1041

4469 Fulton Dr NW
Ste 100
Canton, OH 44718
Phone (330) 966-8461

Interoperability endpoints

  • Direct secure messaging: sdewan@oea.intellechartdirect.net

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.

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1295702066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "SANJEEV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OH",
            "license": "35.061557",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35061557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.