Individual provider Active NPI

Samar Said El Sayegh, MD

  • Psychiatry Physician
  • Ashtabula, OH
National Provider Identifier
1801016951
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35080815 Issued in OH
Practice address
4200 Park Ave
2ND Floor the Northcoast Center
Ashtabula, OH 44004
Phone
(440) 992-8552
Fax
(440) 992-6631
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35080815 OH Primary

Addresses

Primary practice location

4200 Park Ave
2ND Floor the Northcoast Center
Ashtabula, OH 44004

Mailing address

4200 Park Ave
2ND Floor
Ashtabula, OH 44004
Phone (440) 992-8552

Other identifiers 1

IdentifierTypeStateIssuer
2586938MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000444 OH Practitioner - Psychiatry 3779743364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashtabula County Medical CenterGroup PAC ID 2668465600, 70 clinicians

Practice addresses (Care Compare)

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6969

2422 Lake Ave
Ashtabula, OH 44004-4985
Phone (440) 997-6969

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashtabula County Medical Center CurrentSince Jun 5, 2014 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

Interoperability endpoints

  • Direct secure messaging: selsayegh50981@direct.ccf.org

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 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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801016951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-992-8552",
            "fax_number": "440-992-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "address_2": "2ND FLOOR THE NORTHCOAST CENTER",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-992-8552",
            "fax_number": "440-992-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL SAYEGH",
        "first_name": "SAMAR",
        "middle_name": "SAID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35080815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.