Active NPI
Samir S Iskander, MD
- Physical Medicine & Rehabilitation Physician
- Marion, OH
National Provider Identifier
1679531388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35.086009
- Practice address
- 1040 Delaware Avenue
Marion, OH 43301-1814 - Phone
- (740) 383-8047
- Fax
- (740) 383-7942
- NPI assigned
- May 2, 2006
- Last updated
- Oct 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35.086009 | OH | Primary |
Addresses
Primary practice location
1040 Delaware Avenue
Marion, OH 43301-1814
Mailing address
L-3549
Columbus, OH 43260-0001
Phone (740) 383-7927
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353077 | Other | SUBMITTER NO | |
| 7811672 | Other | AETNA | |
| 000000361453 | Other | OH | ANTHEM |
| P00229194 | Other | TRAVELERS MEDICARE | |
| 2518996 | Other | UHC | |
| 4155312 | Other | PALMETTO MEDICARE | |
| 2552036 | Medicaid | OH | |
| 311098079 | Other | TAX ID | |
| 311098079 | Other | CIGNA | |
| 311098079 | Other | PPO NEXT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
210 S Grand Ave
Suite 315
Glendora, CA 91741-4284
Phone (626) 900-7909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.086009 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hass Pain Management | Current | Accepting new patients |
Locations
210 S Grand Ave
Ste 315
Glendora, CA 91741
Phone (626) 610-3776
Interoperability endpoints
- hasspainmanagement.samiriskander@153748.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Glendora, CA
- NPI 1497475636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1679531388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L-3549",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432600001",
"telephone_number": "740-383-7927",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 DELAWARE AVENUE",
"city": "MARION",
"state": "OH",
"postal_code": "433011814",
"telephone_number": "740-383-8047",
"fax_number": "740-383-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDER",
"first_name": "SAMIR",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35.086009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER NO",
"identifier": "353077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7811672",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000361453",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "P00229194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2518996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MEDICARE",
"identifier": "4155312",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2552036",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NEXT",
"identifier": "311098079",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.