Individual provider Active NPI

Sassan Cyrus Ehdaie, MD

  • Pain Medicine (Anesthesiology) Physician
  • Beaumont, TX
National Provider Identifier
1295926475
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
N9849 Issued in TX
Practice address
755 N 11TH St
Suite P2280
Beaumont, TX 77702-1500
Phone
(409) 236-1600
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X N9849 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P2280
Beaumont, TX 77702-1500

Mailing address

PO Box 5827
Beaumont, TX 77726-5827
Phone (409) 835-0348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120430000291 TX Practitioner - Anesthesiology 5597927095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

755 N 11TH St
P2280
Beaumont, TX 77702-1515
Phone (409) 236-1600

755 N 11TH St
Suite P2280
Beaumont, TX 77702-1525
Phone (409) 236-1600

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Riceland Medical Center Hospital, Winnie, TX, CCN 451328
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Altus Lumberton Hospital Hospital, Lumberton, TX, CCN 670134

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
N9849TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Pain Management, PLLC Pain Medicine CurrentSince Mar 18, 2013 Accepting new patients

Locations

755 N 11th St
Ste P2280
Beaumont, TX 77702
Phone (409) 236-1600

755 N 11th St
Ste 2280
Beaumont, TX 77702
Phone (409) 236-1600

755 N 11th St
Ste P2
Beaumont, TX 77702
Phone (409) 236-1600

Interoperability endpoints

  • Direct secure messaging: sehdaie416503@christushealth.direct-ci.net

Organizations & group practices 2

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 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1295926475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5827",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265827",
            "telephone_number": "409-835-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-236-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHDAIE",
        "first_name": "SASSAN",
        "middle_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N9849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.