Individual provider Active NPI

Eyad Alsabbagh, MD

  • Interventional Pain Medicine Physician
  • Brooksville, FL
National Provider Identifier
1295789444
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME88499 Issued in FL
Practice address
12148 Cortez Blvd
Brooksville, FL 34613
Phone
(352) 597-7184
Fax
(352) 597-7186
NPI assigned
May 20, 2006
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME88499 FL
Interventional Pain Medicine Physician 208VP0014X ME88499 FL Primary

Addresses

Primary practice location

12148 Cortez Blvd
Brooksville, FL 34613

Mailing address

12148 Cortez Blvd
Spring Hill, FL 34613-5575
Phone (352) 597-7184

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
I20040618000189 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 4981688678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12148 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 597-7184

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88499FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management and Spine Care Center PA Pain Medicine CurrentSince Jun 1, 2006 Accepting new patients
Ozarks Medical Center Interventional Pain Medicine Past Accepting new patients
Access Healthcare LLC Pain Medicine Past Accepting new patients
Mohamad Iqbal Saleh MD PA Past Accepting new patients

Locations

12148 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-9095

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: eyad.alsabbagh.p4@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1295789444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12148 CORTEZ BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-597-7184",
            "fax_number": "352-597-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12148 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-597-7184",
            "fax_number": "352-597-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSABBAGH",
        "first_name": "EYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME88499",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME88499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.