Active NPI
John A Samsa, DO
- Cardiovascular Disease Physician
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 34-004943
- Practice address
- 36100 Euclid Ave
Suite 120
Willoughby, OH 44094-4456 - Phone
- (440) 951-8360
- Fax
- (440) 951-9408
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 34-004943 | OH | Primary |
Addresses
Primary practice location
36100 Euclid Ave
Suite 120
Willoughby, OH 44094-4456
Mailing address
36100 Euclid Ave
Suite 120
Willoughby, OH 44094-4456
Phone (440) 951-8360
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341313510JS | Other | OH | SUMMACARE |
| 4335903 | Other | OH | AETNA |
| 0791611 | Medicaid | OH | |
| 18958 | Other | OH | QUALCHOICE |
| 2597481 | Other | OH | UNITED HEALTHCARE |
| 000000209058 | Other | OH | ANTHEM |
| 264168 | Other | OH | FEDERAL BLACK LUNG |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.samsa@lhpg.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ohio University, College of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
25501 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5603
Phone (844) 746-8537
27100 Chardon Rd
Richmond Heights, OH 44143-1116
7580 Auburn Rd
Suite 106
Concord Township, OH 44077-9616
Phone (440) 352-9554
7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944
Hospital & facility affiliations
- Lake Health
- Uh Regional Hospitals
- Lake Health Beachwood Medical Center
- Uh Cleveland Medical Center
- Uhhs Memorial Hospital of Geneva
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-004943 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Cardiovascular Disease | Current | Accepting new patients |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients | |
| Heart Specialists Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899
7580 Auburn Rd
Ste 106
Concord Township, OH 44077
Phone (440) 352-9554
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292
9500 Mentor Ave
Ste 360
Mentor, OH 44060
Phone (440) 255-5508
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
36100 Euclid Ave
Ste 120
Willoughby, OH 44094
Phone (216) 951-8360
5105 Som Center Rd
Ste 201
Willoughby, OH 44094
Phone (440) 602-6710
Interoperability endpoints
- jsamsa37803@ehrdirect.uhhospitals.org
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
Cardiovascular Disease
-
- Pediatrics Physician
- Madison, OH
- NPI 1932143856
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1114054384
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Cardiovascular Disease Physician
- Willoughby, OH
- NPI 1982711883
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1841789427
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1932168242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36100 EUCLID AVE",
"address_2": "SUITE 120",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944456",
"telephone_number": "440-951-8360",
"fax_number": "440-951-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36100 EUCLID AVE",
"address_2": "SUITE 120",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944456",
"telephone_number": "440-951-8360",
"fax_number": "440-951-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSA",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "34-004943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "341313510JS",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4335903",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0791611",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "18958",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2597481",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000209058",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "264168",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.samsa@lhpg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Baseline West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "7580 Auburn Road",
"address_2": "Suite 106",
"city": "Concord Twp",
"state": "OH",
"country_code": "US",
"postal_code": "44077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.