Individual provider Active NPI

Seyed Sahand Banisadr, MD

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1871013656
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR0069674 Issued in CO
Practice address
2109 Hughes Dr FL E
Toledo, OH 43606-3856
Phone
(419) 291-7322
Fax
(419) 479-2617
NPI assigned
Jun 22, 2017
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0027797 DE
Pediatrics Physician 208000000X 57.030449 OH
Pediatrics Physician 208000000X DR0069674 CO Primary

Addresses

Primary practice location

2109 Hughes Dr FL E
Toledo, OH 43606-3856

Mailing address

213 Carnegie PL
Pittsburgh, PA 15208-2705

Other practice location 1

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 422-3311

Other practice location 2

640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700

Other names 1

  • Seyed Sahand Banisadr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DE, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221212000229 CO Practitioner - Pediatric Medicine 7911245758 Reassigns benefits to 1 organization
I20250416001220 DE Practitioner - Pediatric Medicine 7911245758 Reassigns benefits to 2 organizations
I20260113003774 OH Practitioner - Pediatric Medicine 7911245758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 McAuley PL
Blue Ash, OH 45242-4765

4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0069674COMDPediatrics Physician
C1-0027797DEMDPediatrics Physician
57.030449OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 12, 2022 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 26, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 26, 2025 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 12, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Longmont United Hospital Past Accepting new patients

Locations

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 100
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: sayedsahand.banisadr.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1871013656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CARNEGIE PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR FL E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063856",
            "telephone_number": "419-291-7322",
            "fax_number": "419-479-2617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-422-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-674-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANISADR",
        "first_name": "SEYED SAHAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0027797",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.030449",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR0069674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEYED",
            "last_name": "BANISADR",
            "middle_name": "SAHAND",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.