Individual provider Active NPI

Andrew Sasak

  • Physician Assistant
  • Hamilton, OH
National Provider Identifier
1780061473
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004321 Issued in OH
Practice address
630 Eaton Ave
Hamilton, OH 45013-2767
Phone
(513) 867-2000
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004321 OH Primary

Addresses

Primary practice location

630 Eaton Ave
Hamilton, OH 45013-2767

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001383 OH Practitioner - Physician Assistant 5698095008 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1005 E Main St
Suite 3
Kent, OH 44240-2815
Phone (330) 440-0360

1300 Som Ctr Rd
Mayfield Heights, OH 44124-2048
Phone (440) 210-4140

2700 E Aurora Rd
Suite F
Twinsburg, OH 44087-6818
Phone (330) 476-5510

27520 Chagrin Blvd
Beachwood, OH 44122-4424
Phone (440) 809-8810

36001 Euclid Ave
Unit 5
Willoughby, OH 44094-4643
Phone (440) 484-2160

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

6140 Som Ctr Rd
Solon, OH 44139-2333
Phone (440) 578-0845

6900 Ctr St
Mentor, OH 44060-4245
Phone (440) 385-0010

7500 Auburn Rd
Suite 1200
Concord Township, OH 44077-9612
Phone (440) 809-8855

Hospital & facility affiliations

  • Lutheran Hospital Hospital, Cleveland, OH, CCN 360087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004321OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jun 10, 2015 Accepting new patients
Wooster Clinic, LLC CurrentSince Aug 7, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 29, 2021 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 29, 2021 Accepting new patients
Peninsula Surgical Group, P.a. Past Accepting new patients
Peninsula Surgical Group, P.a. Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: asasak27962@ehrdirect.uhhospitals.org

Organizations & group practices 9

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1780061473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EATON AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132767",
            "telephone_number": "513-867-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.