Individual provider Active NPI

Saied Andrew Sanjari, DO

  • Internal Medicine Physician
  • Cabot, PA
National Provider Identifier
1730744053
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS022000 Issued in PA
Practice address
134 Marwood Rd
Cabot, PA 16023-2245
Phone
(724) 352-1571
NPI assigned
May 2, 2019
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58.031046 OH
Internal Medicine Physician 207R00000X OS022000 PA Primary

Addresses

Primary practice location

134 Marwood Rd
Cabot, PA 16023-2245

Mailing address

112 Marwood Rd Ste 5000
Cabot, PA 16023-2264
Phone (724) 352-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220701000315 PA Practitioner - Internal MedicinePractitioner - Hospitalist 9335529726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concordia Physician PracticeGroup PAC ID 8820300387, 5 clinicians

Practice addresses (Care Compare)

112 Marwood Rd
Suite 5000
Cabot, PA 16023-2264
Phone (724) 352-4448

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.031046OHMDInternal Medicine Physician
OS022000PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Physician Practice CurrentSince Mar 1, 2023 Accepting new patients
Concordia Lutheran Health and Human Care Past Accepting new patients

Locations

112 Marwood Rd
Ste 5000
Cabot, PA 16023
Phone (724) 352-4448

134 Marwood Rd
Cabot, PA 16023
Phone (724) 352-1571

Interoperability endpoints

  • Direct secure messaging: ssanjari@concordiaphysicianpractice.medentdirect.com

Organizations & group practices 2

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 7

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1730744053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MARWOOD RD STE 5000",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232264",
            "telephone_number": "724-352-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MARWOOD RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232245",
            "telephone_number": "724-352-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJARI",
        "first_name": "SAIED",
        "middle_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.031046",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, PA

Sources for this page

Verify at the official NPI Registry.