Individual provider Active NPI

Saad George Sobhy, MD

  • Interventional Pain Medicine Physician
  • Syracuse, NY
National Provider Identifier
1679764187
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
200 742 Issued in NY
Practice address
151 Northern Concourse Ste 2
Syracuse, NY 13212-4066
Phone
(315) 425-9094
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 200 742 NY Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 200742 NY

Addresses

Primary practice location

151 Northern Concourse Ste 2
Syracuse, NY 13212-4066

Mailing address

151 Northern Concourse Ste 2
Syracuse, NY 13212-4066
Phone (315) 425-9094

Other practice location 1

109 S Warren St
suite 711
Syracuse, NY 13202-1798
Phone (315) 425-9094

Other identifiers 1

IdentifierTypeStateIssuer
01613758MedicaidNY

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
I20120831000176 NY Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1951558618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Northern Concourse
Suite 2
Syracuse, NY 13212-4066
Phone (315) 425-9094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200742NYMDPhysical Medicine & Rehabilitation Physician
200 742NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sobhy Electrodiagnostic and Pain Medicine P.C. Multi-Specialty CurrentSince Jul 3, 1999 Accepting new patients

Locations

109 S Warren St
Ste 711
Syracuse, NY 13202
Phone (315) 425-9094

151 Northern Concourse
Ste 2
Syracuse, NY 13212
Phone (315) 425-9094

Interoperability endpoints

  • Direct secure messaging: ssobhy@hiemail.healtheconnections.org

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1679764187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NORTHERN CONCOURSE STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124066",
            "telephone_number": "315-425-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NORTHERN CONCOURSE STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124066",
            "telephone_number": "315-425-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Warren St",
            "address_2": "suite 711",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132021798",
            "country_code": "US",
            "telephone_number": "315-425-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBHY",
        "first_name": "SAAD",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "200 742",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "200742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.