Individual provider Active NPI

Michael Salem Wahban Sayegh, M.D.

  • Ophthalmology Physician
  • Cornwall, NY
National Provider Identifier
1659339141
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
204919 Issued in NY
Practice address
21 Laurel Ave
Suite 2020
Cornwall, NY 12518-1469
Phone
(845) 534-5800
Fax
(845) 534-2464
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 204919 NY Primary

Addresses

Primary practice location

21 Laurel Ave
Suite 2020
Cornwall, NY 12518-1469

Mailing address

21 Laurel Ave
Suite 2020
Cornwall, NY 12518-1469
Phone (845) 534-5800

Other identifiers 1

IdentifierTypeStateIssuer
1815856MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051207000159 NY Practitioner - Ophthalmology 3870513732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

30 Hatfield LN
Goshen, NY 10924-6768
Phone (845) 294-0994

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery683

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Sep 17, 2013 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Sep 17, 2013 Accepting new patients
New York Cataract & Laser Eye Care PC CurrentSince Mar 29, 2005 Accepting new patients
Eastern Orange Ambulatory Surgery Center, LLC CurrentSince Sep 1, 2018 Accepting new patients
Cataract & Laser Eye Surgeons of Hudson Valley PC PastSince Dec 9, 2005 Accepting new patients
St Joseph'S Medical Practice PC Ophthalmology Past Accepting new patients

Locations

21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800

55 Quaker Ave
Ste 105
Cornwall, NY 12518
Phone (845) 534-5800

21 Laurel Ave
Ste 2020
Cornwall, NY 12518
Phone (845) 534-5800

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

30 Hatfield Ln
Ste 208
Goshen, NY 10924
Phone (845) 294-0994

30 Hatfield Ln
Ste 106
Goshen, NY 10924
Phone (845) 360-5947

7 Miller Rd
Mahopac, NY 10541
Phone (845) 628-8600

53 Route 17K
Ste 2
Newburgh, NY 12550
Phone (845) 561-2024

400 Gidney Ave
Newburgh, NY 12550
Phone (845) 561-1565

157 Lockwood Ave
Yonkers, NY 10701
Phone (914) 476-5496

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA
  • Direct secure messaging: michael.sayegh@hfmg.eclinicaldirectplus.com

Organizations & group practices 6

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 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205539200000",
    "number": "1659339141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 2020",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181469",
            "telephone_number": "845-534-5800",
            "fax_number": "845-534-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 2020",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181469",
            "telephone_number": "845-534-5800",
            "fax_number": "845-534-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEGH",
        "first_name": "MICHAEL",
        "middle_name": "SALEM WAHBAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "204919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1815856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

Verify at the official NPI Registry.