Individual provider Active NPI

Saad A Sanyurah, M.D.

  • Specialist
  • Wadsworth, OH
National Provider Identifier
1639157852
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-05-8482-S Issued in OH
Practice address
185 Wadsworth Rd
Suite H
Wadsworth, OH 44281-8330
Phone
(330) 334-6212
Fax
(330) 336-3913
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-05-8482-S OH Primary

Addresses

Primary practice location

185 Wadsworth Rd
Suite H
Wadsworth, OH 44281-8330

Mailing address

185 Wadsworth Rd
Suite H
Wadsworth, OH 44281-8330
Phone (330) 334-6212

Other identifiers 2

IdentifierTypeStateIssuer
0761457MedicaidOH
35-05-8482-SOtherOHSTATE LICENSE

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
I20100910000692 OH Practitioner - Allergy/Immunology 5294850467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
American Medical Missionary College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Allergy and Asthma Treatment CenterGroup PAC ID 0143489807, 2 clinicians

Practice addresses (Care Compare)

185 Wadsworth Rd
Suite H
Wadsworth, OH 44281-9585
Phone (330) 334-6212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Allergy and Asthma Treatment Center Specialist CurrentSince Feb 1, 1992 Accepting new patients

Locations

3637 Medina Rd
Ste 225
Medina, OH 44256
Phone (330) 723-2923

185 Wadsworth Rd
Ste H
Wadsworth, OH 44281
Phone (330) 334-6212

3562 Commerce Pkwy
Ste B
Wooster, OH 44691
Phone (330) 345-6446

Interoperability endpoints

  • Direct secure messaging: saad.sanyurah.1@19291.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639157852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE H",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-334-6212",
            "fax_number": "330-336-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE H",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-334-6212",
            "fax_number": "330-336-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANYURAH",
        "first_name": "SAAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-05-8482-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761457",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35-05-8482-S",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.