Individual provider Active NPI

Mohamed Sanad, MD

  • Internal Medicine Physician
  • Sheffield Village, OH
National Provider Identifier
1851362545
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35076378 Issued in OH
Practice address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone
(440) 934-5454
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35076378 OH Primary

Addresses

Primary practice location

5334 Meadow Lane CT
Sheffield Village, OH 44035-1469

Mailing address

5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-5454

Other identifiers 1

IdentifierTypeStateIssuer
2194665MedicaidOH

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
I20040120000688 OH Practitioner - Internal Medicine 5890696918 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076378OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Dec 15, 2008 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Mar 1, 2006 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine Past Accepting new patients

Locations

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1851362545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "440-934-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "440-934-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAD",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.