Individual provider Active NPI

Fahimeh Sasan, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1306005145
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
256735 Issued in NY
Practice address
102 5TH Ave
New York, NY 10011-6902
Phone
(347) 778-2542
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CDRH.0066843 CO
Obstetrics & Gynecology Physician 207V00000X E-15598 AR
Obstetrics & Gynecology Physician 207V00000X 17006 CA
Obstetrics & Gynecology Physician 207V00000X DO034850 DC
Obstetrics & Gynecology Physician 207V00000X OS17301 FL
Obstetrics & Gynecology Physician 207V00000X 82631 GA
Obstetrics & Gynecology Physician 207V00000X 036159904 IL
Obstetrics & Gynecology Physician 207V00000X H0093817 MD
Obstetrics & Gynecology Physician 207V00000X EMC0001799 MI
Obstetrics & Gynecology Physician 207V00000X 70365 MN
Obstetrics & Gynecology Physician 207V00000X 25MB10437600 NJ
Obstetrics & Gynecology Physician 207V00000X 34.015356 OH
Obstetrics & Gynecology Physician 207V00000X 2022038731 MO
Obstetrics & Gynecology Physician 207V00000X T1204 TX
Obstetrics & Gynecology Physician 207V00000X 256735 NY Primary

Addresses

Primary practice location

102 5TH Ave
New York, NY 10011-6902

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

3005 Peachtree Rd NE Ste 100
Atlanta, GA 30305-2214
Phone (470) 765-6347

Other practice location 2

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (773) 435-9029

Other practice location 3

1455 N Milwaukee Ave
Chicago, IL 60622-2015
Phone (773) 435-9036

Other practice location 4

2246 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 725-4161

Other practice location 5

2172 Blackberry Dr Ste 204
Geneva, IL 60134-1106
Phone (815) 725-4341

Other practice location 6

2501 Compass Rd Ste 135
Glenview, IL 60026-8068
Phone (224) 404-2042

Other practice location 7

2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Phone (479) 480-7200

Other practice location 8

88 Sutter St
San Francisco, CA 94104-4900
Phone (628) 777-7064

Other practice location 9

220 Josephine St
Denver, CO 80206-4750
Phone (720) 370-5671

Other practice location 10

1111 19th St NW Ste 104
Washington, DC 20036-3619
Phone (202) 301-3595

Other practice location 11

4756 El Camino Real
Los Altos, CA 94022-1330
Phone (650) 445-4724

Other practice location 12

4321 Birch St Ste 100
Newport Beach, CA 92660-1940
Phone (949) 432-7438

Other practice location 13

1700 N Main St
Walnut Creek, CA 94596-4105
Phone (925) 322-2115

Other practice location 14

500 Broadway Ste 7
Santa Monica, CA 90401-2988
Phone (323) 410-1291

Other practice location 15

4150 Regents Park Row Ste 321
LA Jolla, CA 92037-9124
Phone (619) 673-8658

Other practice location 16

1530 Celebration Blvd Ste 200
Celebration, FL 34747-5165
Phone (407) 745-1669

Other practice location 17

6 Bronze Pointe S
Swansea, IL 62226-8307
Phone (314) 266-2062

Other practice location 18

1585 N Barrington Rd Ste 401
Hoffman Estates, IL 60169-5020
Phone (847) 843-7090

Other practice location 19

26400 W 12 Mile Rd Ste 140
Southfield, MI 48034-1753
Phone (248) 780-2070

Other practice location 20

6000 Executive Blvd Ste 500
North Bethesda, MD 20852-3858
Phone (301) 363-0226

Other practice location 21

138 N 2nd St
Minneapolis, MN 55401-4458
Phone (612) 230-4090

Other practice location 22

347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811
Phone (314) 266-2062

Other practice location 23

16 Chambers St
Princeton, NJ 08542-3708
Phone (609) 632-1581

Other practice location 24

16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755

Other practice location 25

8845 Lyra Dr
Columbus, OH 43240
Phone (380) 222-2731

Other practice location 26

1414 Walnut St
Philadelphia, PA 19102-3824
Phone (215) 770-6687

Other practice location 27

100 Colorado St
Austin, TX 78701-4147
Phone (737) 787-7806

Other practice location 28

2501 NE 134th St Ste 100
Vancouver, WA 98686-3027
Phone (360) 535-7590

Other practice location 29

811 Stewart St
Seattle, WA 98101-1305
Phone (206) 736-5839

Other practice location 30

787 N Broadway
Milwaukee, WI 53202-3614
Phone (262) 518-7448

Other practice location 31

1111 Uptown Park Blvd Ste 2
Houston, TX 77056-3224
Phone (281) 719-9355

Other practice location 32

8041 Walnut Hill Ln Ste 870
Dallas, TX 75231-0954
Phone (214) 295-7712

Other practice location 33

2500 N Mayfair Rd Ste 420
Wauwatosa, WI 53226-1443
Phone (262) 518-7448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101025001361 NY Practitioner - Obstetrics/Gynecology 0840483632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
66.35
Promoting interoperability
98
Improvement activities
40
Cost
72.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15598ARMDObstetrics & Gynecology Physician
CDRH.0066843COMDObstetrics & Gynecology Physician
DO034850DCMDObstetrics & Gynecology Physician
OS17301FLMDObstetrics & Gynecology Physician
82631GAMDObstetrics & Gynecology Physician
036159904ILMDObstetrics & Gynecology Physician
H0093817MDMDObstetrics & Gynecology Physician
EMC0001799MIMDObstetrics & Gynecology Physician
70365MNMDObstetrics & Gynecology Physician
2022038731MOMDObstetrics & Gynecology Physician
25MB10437600NJMDObstetrics & Gynecology Physician
256735NYMDObstetrics & Gynecology Physician
34.015356OHMDObstetrics & Gynecology Physician
T1204TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Empire Medical Practice, PC Current Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
Fahimeh Sasan,D.O., P.C Obstetrics & Gynecology Past Accepting new patients
Garden State Medical Practice, PC Obstetrics & Gynecology PastSince Feb 23, 2020 Accepting new patients
Kindbody of FL Medical Practice PA Obstetrics & Gynecology PastSince Feb 7, 2021 Accepting new patients
Reena Jabamoni MDSC Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients
Mount Sinai School of Medicine of New York University Obstetrics & Gynecology Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology PastSince May 26, 2024 Accepting new patients
Vios Fertility Institute Chicago Past Accepting new patients

Locations

220 Josephine St
Denver, CO 80206
Phone (720) 370-5671

138 N 2nd St
Minneapolis, MN 55401
Phone (612) 230-4090

16 Chambers St
Princeton, NJ 08542
Phone (609) 632-1581

3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600

13620 38th Ave
Ste 6E
Flushing, NY 11354
Phone (718) 353-7701

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

16 E 40th St
Fl 2
New York, NY 10016
Phone (212) 679-2289

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

102 5th Ave
New York, NY 10011
Phone (347) 778-2542

5 E 98th St
#1170
New York, NY 10029
Phone (212) 241-7575

5 E 98th St
#1174
New York, NY 10029
Phone (212) 241-7952

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1306005145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116902",
            "telephone_number": "347-778-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 Peachtree Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052214",
            "country_code": "US",
            "telephone_number": "470-765-6347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Desplaines St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606615514",
            "country_code": "US",
            "telephone_number": "773-435-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222015",
            "country_code": "US",
            "telephone_number": "773-435-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030928",
            "country_code": "US",
            "telephone_number": "815-725-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2172 Blackberry Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341106",
            "country_code": "US",
            "telephone_number": "815-725-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Compass Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268068",
            "country_code": "US",
            "telephone_number": "224-404-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 S Promenade Blvd Ste 5185",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588722",
            "country_code": "US",
            "telephone_number": "479-480-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Sutter St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941044900",
            "country_code": "US",
            "telephone_number": "628-777-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Josephine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064750",
            "country_code": "US",
            "telephone_number": "720-370-5671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 19th St NW Ste 104",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363619",
            "country_code": "US",
            "telephone_number": "202-301-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4756 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221330",
            "country_code": "US",
            "telephone_number": "650-445-4724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Birch St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601940",
            "country_code": "US",
            "telephone_number": "949-432-7438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964105",
            "country_code": "US",
            "telephone_number": "925-322-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Broadway Ste 7",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904012988",
            "country_code": "US",
            "telephone_number": "323-410-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Regents Park Row Ste 321",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920379124",
            "country_code": "US",
            "telephone_number": "619-673-8658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Celebration Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475165",
            "country_code": "US",
            "telephone_number": "407-745-1669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "314-266-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 N Barrington Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695020",
            "country_code": "US",
            "telephone_number": "847-843-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341753",
            "country_code": "US",
            "telephone_number": "248-780-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Executive Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523858",
            "country_code": "US",
            "telephone_number": "301-363-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554014458",
            "country_code": "US",
            "telephone_number": "612-230-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "347 N Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417811",
            "country_code": "US",
            "telephone_number": "314-266-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085423708",
            "country_code": "US",
            "telephone_number": "609-632-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 40th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160113",
            "country_code": "US",
            "telephone_number": "646-751-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8845 Lyra Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43240",
            "country_code": "US",
            "telephone_number": "380-222-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023824",
            "country_code": "US",
            "telephone_number": "215-770-6687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colorado St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014147",
            "country_code": "US",
            "telephone_number": "737-787-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 NE 134th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863027",
            "country_code": "US",
            "telephone_number": "360-535-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011305",
            "country_code": "US",
            "telephone_number": "206-736-5839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "787 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532023614",
            "country_code": "US",
            "telephone_number": "262-518-7448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Uptown Park Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770563224",
            "country_code": "US",
            "telephone_number": "281-719-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8041 Walnut Hill Ln Ste 870",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310954",
            "country_code": "US",
            "telephone_number": "214-295-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N Mayfair Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261443",
            "country_code": "US",
            "telephone_number": "262-518-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASAN",
        "first_name": "FAHIMEH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "CDRH.0066843",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-15598",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "17006",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "DO034850",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS17301",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "82631",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036159904",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H0093817",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "EMC0001799",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "70365",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB10437600",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.015356",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2022038731",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T1204",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "256735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.