Active NPI
Jordan Sasson, MD
- Vascular Surgery Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35.140475
- Practice address
- 4205 W Atlantic Ave Ste 201
Delray Beach, FL 33445-3901 - Phone
- (561) 303-0013
- Fax
- (561) 499-3199
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME133311 | FL | |
| Vascular Surgery Physician | 2086S0129X | 35.140475 | OH | Primary |
Addresses
Primary practice location
4205 W Atlantic Ave Ste 201
Delray Beach, FL 33445-3901
Mailing address
4205 W Atlantic Ave
BLDG B Ste 201
Delray Beach, FL 33445-3901
Phone (561) 303-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0418427 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | jsasson1760757@direct.premierhealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- New York Medical College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2350 Miami Valley Dr
Suite 300
Centerville, OH 45459-4778
Phone (937) 438-8640
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Single Specialty | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Single Specialty | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Lexington Health Inc | Vascular Surgery | Current | Accepting new patients |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2350 Miami Valley Dr
Ste 300
Centerville, OH 45459
Phone (937) 438-8640
1 Wyoming St
Ste 4130
Dayton, OH 45409
Phone (937) 208-6810
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
2728 Sunset Blvd
Ste 400
West Columbia, SC 29169
Phone (803) 936-7095
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
Single Specialty
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
Single Specialty
-
- Cardiovascular Disease Physician
- West Columbia, SC
- NPI 1083211312
Vascular Surgery
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922236777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 W ATLANTIC AVE",
"address_2": "BLDG B STE 201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453901",
"telephone_number": "561-303-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 W ATLANTIC AVE STE 201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453901",
"telephone_number": "561-303-0013",
"fax_number": "561-499-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSON",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2022-07-21",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME133311",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35.140475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0418427",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "jsasson1760757@direct.premierhealth.com",
"affiliation": "N",
"address_1": "2350 Miami Valley Dr Ste 300",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454594778",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.