NPIMap

Individual provider Active NPI

Essam Bashir Elashi, MD

  • Nephrology Physician
  • Sandusky, OH
National Provider Identifier
1629077029
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35072580 Issued in OH
Practice address
1221 Hayes Ave
Suite F
Sandusky, OH 44870-3345
Phone
(419) 627-8403
Fax
(419) 627-1962
NPI assigned
Jul 18, 2005
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35072580 OH Primary

Addresses

Primary practice location

1221 Hayes Ave
Suite F
Sandusky, OH 44870-3345

Mailing address

1031 Pierce Street
Suite D
Sandusky, OH 44870
Phone (419) 557-5541

Other identifiers 3

IdentifierTypeStateIssuer
000000129589OtherOHANTHEM BC/BS
110207740OtherOHRAILROAD MEDICARE
2211547MedicaidOH

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
I20090531000000 OH Practitioner - Nephrology 3476587858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1221 Hayes Ave
Suite G
Sandusky, OH 44870-3345
Phone (419) 627-8403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072580OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Mar 10, 2009 Accepting new patients
Home Dialysis Services of Sandusky Inc. CurrentSince May 1, 2017 Accepting new patients
North Coast Professional Company, LLC Nephrology CurrentSince Mar 10, 2009 Accepting new patients

Locations

3960 East Harbor Rd
Port Clinton, OH 43452
Phone (419) 557-5488

1031 Pierce St
Ste D
Sandusky, OH 44870

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1221 Hayes Ave
Ste F
Sandusky, OH 44870
Phone (419) 557-6550

1221 Hayes Ave
Ste G
Sandusky, OH 44870
Phone (419) 609-1800

2819 Hayes Ave
Ste 1
Sandusky, OH 44870
Phone (419) 627-8403

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: eelashi220559@ehrdirect.uhhospitals.org
  • Direct secure messaging: essam.elashi@fpg.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1629077029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE STREET",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE",
            "address_2": "SUITE F",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-627-8403",
            "fax_number": "419-627-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASHI",
        "first_name": "ESSAM",
        "middle_name": "BASHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35072580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000129589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110207740",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211547",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.