Individual provider Active NPI

Abu Nasir Syed, MD

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1902909500
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35051271 Issued in OH
Practice address
1730 W 25TH St
Cleveland, OH 44113-3108
Phone
(216) 696-4300
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 35051271 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Cleveland, OH 44113-3108

Mailing address

PO Box 598
Columbia Station, OH 44028-0598
Phone (440) 243-0530

Other practice location 1

2322 E 22nd St Ste 200
Cleveland, OH 44115-3100
Phone (216) 363-2570

Other identifiers 1

IdentifierTypeStateIssuer
0644253MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directmob200@cleveland.ipsmso.com Outreach Professional Services Inc

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
I20120126000436 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9830082064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2475 E 22ND St
FL 4
Cleveland, OH 44115-3209
Phone (216) 363-2570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051271OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Charity Medical Center CurrentSince Nov 16, 2022 Accepting new patients
St Vincent Charity Medical Center Psychiatry CurrentSince Nov 16, 2022 Accepting new patients
Outreach Professional Services, Inc CurrentSince Jun 1, 2020 Accepting new patients
Outreach Professional Services Inc Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Lutheran Hospital Past Accepting new patients

Locations

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

2322 E 22nd St
Ste 200
Cleveland, OH 44115
Phone (216) 227-9440

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

Organizations & group practices 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1902909500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440280598",
            "telephone_number": "440-243-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 E 22nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153100",
            "country_code": "US",
            "telephone_number": "216-363-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "ABU",
        "middle_name": "NASIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35051271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644253",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob200@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St Ste 200",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.