Individual provider Active NPI

Sejal V Pedersen, MD

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1528033156
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.073632 Issued in OH
Practice address
1 Park West Blvd.
Suite 200
Akron, OH 44320
Phone
(330) 869-9777
Fax
(330) 865-6011
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-07-3632V OH
Obstetrics & Gynecology Physician 207V00000X 35.073632 OH Primary

Addresses

Primary practice location

1 Park West Blvd.
Suite 200
Akron, OH 44320

Mailing address

1 Park West Blvd.
Suite 200
Akron, OH 44320
Phone (330) 869-9777

Other identifiers 1

IdentifierTypeStateIssuer
0301140MedicaidOH

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
I20100927000796 OH Practitioner - Obstetrics/Gynecology 9830215953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

51 Park W Blvd
Suite 200
Akron, OH 44320-4215
Phone (330) 869-9777

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073632OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jan 1, 2015 Accepting new patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients
Summa Physicians LLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

1 Park West Blvd
Ste 200
Akron, OH 44320
Phone (330) 835-9158

1463 Canton Rd
Akron, OH 44312
Phone (330) 784-5406

75 Arch St
Ste 401
Akron, OH 44304
Phone (330) 253-5046

51 Park West Blvd
#200
Akron, OH 44320

1860 State Rd
Ste D
Cuyahoga Fls, OH 44223
Phone (330) 923-3138

1700 Boettler Rd
Ste 225
Green, OH 44685
Phone (330) 899-9696

1305 Corporate Dr
Ste A
Hudson, OH 44236
Phone (330) 650-4241

1951 State Route 59
Ste C
Kent, OH 44240
Phone (330) 677-3638

Interoperability endpoints

  • Direct secure messaging: spedersen28501@summahealth-direct.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1528033156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD.",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-869-9777",
            "fax_number": "330-865-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD.",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-869-9777",
            "fax_number": "330-865-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "SEJAL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-07-3632V",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.073632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.