Individual provider Active NPI

David Sugerman, MD

  • Emergency Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1851352090
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35061966S Issued in OH
Practice address
7123 Pearl Rd
Suite 201
Middleburg Heights, OH 44130-4975
Phone
(440) 842-7990
Fax
(440) 842-8835
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35061966S OH Primary

Addresses

Primary practice location

7123 Pearl Rd
Suite 201
Middleburg Heights, OH 44130-4975

Mailing address

4155 Giles Rd
Moreland HLS, OH 44022-2028
Phone (440) 247-7488

Other identifiers 1

IdentifierTypeStateIssuer
0882808MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20170705001148 ME Practitioner - Emergency Medicine 5294629754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians

Practice addresses (Care Compare)

10 Wayman LN
Bar Harbor, ME 04609-1625
Phone 20728850811375

Hospital & facility affiliations

  • Mount Desert Island Hospital Hospital, Bar Harbor, ME, CCN 201304

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061966SOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Desert Island Hospital CurrentSince Apr 26, 2017 Accepting new patients
Mount Desert Island Hospital CurrentSince Apr 26, 2017 Accepting new patients
Lake Hospital System, Inc Past Accepting new patients
Lake Emergency Services Inc Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Acute Care Specialists, Inc. Emergency Medicine Past Accepting new patients
Lake Hospital System, Inc Past Accepting new patients
Oscar Nicholson Jr MD Inc Past Accepting new patients

Locations

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 8

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1851352090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 GILES RD",
            "city": "MORELAND HLS",
            "state": "OH",
            "postal_code": "440222028",
            "telephone_number": "440-247-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7123 PEARL RD",
            "address_2": "SUITE 201",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304975",
            "telephone_number": "440-842-7990",
            "fax_number": "440-842-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGERMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35061966S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.