NPIMap

Individual provider Active NPI

Ehab LF Sargious, MD

  • Specialist
  • Warren, OH
National Provider Identifier
1619968427
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2000 E Market St
Warren, OH 44483-6156
Phone
(330) 393-5566
Fax
(330) 393-3680
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OH Primary

Addresses

Primary practice location

2000 E Market St
Warren, OH 44483-6156

Mailing address

2000 E Market St
Warren, OH 44483-6156
Phone (330) 393-5566

Other identifiers 1

IdentifierTypeStateIssuer
2066295MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000542 OH Practitioner - Psychiatry 1456303965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Sargious M.D. IncGroup PAC ID 1254339781, 2 clinicians
Specialty Care Counseling Services LTDGroup PAC ID 5294787701, 3 clinicians

Practice addresses (Care Compare)

2000 E Market St
Warren, OH 44483-6156
Phone (330) 393-5566

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
72.28 of 100Reported as group
Quality
41.07
Improvement activities
40
Cost
86.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-0703968OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Counseling Services, LTD CurrentSince Jun 30, 2018 Accepting new patients
Specialty Care Counseling Services, LTD CurrentSince Jun 30, 2018 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
Compass Family and Community Services Past Accepting new patients
Compass Family and Community Services Past Accepting new patients
State of Ohio Office of Budget and MGMT, State Accounting Past Accepting new patients

Locations

2000 E Market St
Warren, OH 44483
Phone (330) 393-5566

Interoperability endpoints

  • Direct secure messaging: ehabsargious@esmdi.allscriptsdirect.net

Organizations & group practices 7

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1619968427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836156",
            "telephone_number": "330-393-5566",
            "fax_number": "330-393-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836156",
            "telephone_number": "330-393-5566",
            "fax_number": "330-393-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGIOUS",
        "first_name": "EHAB",
        "middle_name": "LF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066295",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.