Individual provider Active NPI

Nabila Sargious, MD

  • Specialist
  • Canfield, OH
National Provider Identifier
1801887682
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-07-9386-S Issued in OH
Practice address
3755 S Raccoon Rd
Canfield, OH 44406-9372
Phone
(330) 793-5566
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-07-9386-S OH Primary

Addresses

Primary practice location

3755 S Raccoon Rd
Canfield, OH 44406-9372

Mailing address

3755 S Raccoon Rd
Canfield, OH 44406-9372
Phone (330) 793-5566

Other identifiers 1

IdentifierTypeStateIssuer
2371240MedicaidOH

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
I20100512000493 OH Practitioner - Psychiatry 2860520822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3755 S Raccoon Rd
Canfield, OH 44406-9372
Phone (330) 793-5566

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nabila L Sargious MD Inc CurrentSince Sep 9, 2014 Accepting new patients

Locations

3755 S Raccoon Rd
Canfield, OH 44406
Phone (330) 793-5566

2000 E Market St
Warren, OH 44483
Phone (330) 393-5566

Interoperability endpoints

  • Direct secure messaging: nabilasargious@esmdi.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1801887682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 S RACCOON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069372",
            "telephone_number": "330-793-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S RACCOON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069372",
            "telephone_number": "330-793-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGIOUS",
        "first_name": "NABILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-9386-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.