Individual provider Active NPI

Mark Y Sah, DO

  • Family Medicine Physician
  • Bristol, TN
National Provider Identifier
1346685260
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3400 Issued in TN
Practice address
1 Medical Park Blvd
Bristol, TN 37620
Phone
(423) 844-5560
Fax
(423) 844-5569
NPI assigned
May 6, 2013
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3400 TN Primary
Hospitalist Physician 208M00000X 3400 TN

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620

Mailing address

509 Med Tech Pkwy Ste 1
Johnson City, TN 37604-2578
Phone (423) 952-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180904000785 TN Practitioner - Family PracticePractitioner - Hospitalist 5799035259 Reassigns benefits to 4 organizations
I20201013001902 VA Practitioner - HospitalistPractitioner - Family Practice 5799035259 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3400TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Hospitalist CurrentSince Jul 6, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
NV Pacs 2 LLC Hospitalist CurrentSince Jan 3, 2022 Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Hospitalist CurrentSince Jul 8, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Jul 6, 2020 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

103 North St
Bristol, VA 24201
Phone (276) 642-7901

Organizations & group practices 9

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1346685260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MED TECH PKWY STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042578",
            "telephone_number": "423-952-2111",
            "fax_number": "423-952-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-844-5560",
            "fax_number": "423-844-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAH",
        "first_name": "MARK",
        "middle_name": "Y",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3400",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "3400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.