Individual provider Active NPI

Allen M Segal, D.O.

  • Rheumatology Physician
  • South Euclid, OH
National Provider Identifier
1497730220
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
34-002816 Issued in OH
Practice address
1611 S Green Rd Ste 160
South Euclid, OH 44121-6100
Phone
(216) 297-2084
Fax
(216) 297-2910
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 34-002816 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 160
South Euclid, OH 44121-6100

Mailing address

1611 S Green Rd Ste 160
South Euclid, OH 44121-6100
Phone (216) 297-2084

Other identifiers 2

IdentifierTypeStateIssuer
0488762MedicaidOH
4549492OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allensegal@uhps.allscriptsdirect.net

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
I20091109000541 OH Practitioner - RheumatologyPractitioner - Internal Medicine 2365580578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1611 S Green Rd
Suite 065
South Euclid, OH 44121-4129
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-002816OHMDRheumatology Physician
002816OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Rheumatology CurrentSince Jan 1, 2016 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1611 S Green Rd
Ste 160
South Euclid, OH 44121
Phone (216) 297-2073

1611 S Green Rd
#65
South Euclid, OH 44121
Phone (216) 291-4050

Interoperability endpoints

  • Direct secure messaging: asegal35934@ehrdirect.uhhospitals.org

Organizations & group practices 3

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1497730220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 160",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441216100",
            "telephone_number": "216-297-2084",
            "fax_number": "216-297-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 160",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441216100",
            "telephone_number": "216-297-2084",
            "fax_number": "216-297-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ALLEN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "34-002816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488762",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4549492",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allensegal@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.