Individual provider Active NPI

Paul M Sagerman, MD

  • Anatomic Pathology Physician
  • Tucson, AZ
National Provider Identifier
1740384130
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
34331 Issued in AZ
Practice address
4582 N 1St Ave
Suite 120
Tucson, AZ 85718-8602
Phone
(520) 888-2121
Fax
(520) 888-4850
NPI assigned
Sep 7, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 34331 AZ Primary

Addresses

Primary practice location

4582 N 1St Ave
Suite 120
Tucson, AZ 85718-8602

Mailing address

PO Box 35760
Tucson, AZ 85740-5760
Phone (520) 722-0777

Other identifiers 2

IdentifierTypeStateIssuer
162146MedicaidAZ
34331OtherAZSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070222000517 AZ Practitioner - Pathology 9739103409 Reassigns benefits to 1 organization
I20230414000406 TX Practitioner - Pathology 9739103409 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sagis PLLCGroup PAC ID 3274797212, 27 clinicians

Practice addresses (Care Compare)

4131 Directors Row
Houston, TX 77092-8703
Phone (877) 697-2447

4582 N 1St Ave
Suite 120
Tucson, AZ 85718-8603
Phone (877) 697-2447

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
85.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34331AZMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagis, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Sagis PLLC CurrentSince Jan 1, 2023 Accepting new patients
Alliance Pathology Consultants PA Anatomic Pathology CurrentSince Mar 17, 2023 Accepting new patients
J S Wilkenfeld MD & Associates CurrentSince Mar 17, 2023 Accepting new patients
Clear Lake Pathology Partners LTD CurrentSince Mar 17, 2023 Accepting new patients
Houston Pathology Associates CurrentSince Mar 17, 2023 Accepting new patients
Park Slope Pathology Services PC Past Accepting new patients

Locations

4032 N Miller Rd
Ste A108
Scottsdale, AZ 85251

4582 N 1st Ave
Ste 120
Tucson, AZ 85718
Phone (520) 888-2121

1033 La Posada Dr
Ste 365
Austin, TX 78752

2537 S Gessner Rd
Ste 200
Houston, TX 77063

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

300 Kingwood Medical Dr
Kingwood, TX 77339
Phone (281) 312-4000

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1740384130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35760",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405760",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 N 1ST AVE",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188602",
            "telephone_number": "520-888-2121",
            "fax_number": "520-888-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGERMAN",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AZ",
            "license": "34331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162146",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.