Individual provider Active NPI

Jordan Sasson, MD

  • Vascular Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1922236777
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.140475 Issued in OH
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME133311 FL
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0418427MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL jsasson1760757@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201230001902 SC Practitioner - Vascular Surgery 8224303565 Reassigns benefits to 1 organization
I20210610000210 OH Practitioner - Vascular Surgery 8224303565 Reassigns benefits to 1 organization

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
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

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 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Single Specialty Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Premier Health Specialists Inc Single Specialty CurrentSince May 7, 2021 Accepting new patients
Premier Health Specialists Inc CurrentSince May 7, 2021 Accepting new patients
Lexington Health Inc Vascular Surgery CurrentSince Feb 1, 2021 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.