Individual provider Active NPI

John A Samsa, DO

  • Cardiovascular Disease Physician
  • Willoughby, OH
National Provider Identifier
1932168242
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34-004943 Issued in OH
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

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
341313510JSOtherOHSUMMACARE
4335903OtherOHAETNA
0791611MedicaidOH
18958OtherOHQUALCHOICE
2597481OtherOHUNITED HEALTHCARE
000000209058OtherOHANTHEM
264168OtherOHFEDERAL BLACK LUNG

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000325 OH Practitioner - Cardiovascular Disease (Cardiology) 2365534955 Reassigns benefits to 2 organizations

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

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as individual
Quality
83
Promoting interoperability
100
Improvement activities
40
Cost
73.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-004943OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Dec 18, 2024 Accepting new patients
Lake Hospital System Inc Cardiovascular Disease Current Accepting new patients
Lake Hospital System, Inc CurrentSince Feb 28, 2015 Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 18, 2024 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Lake Hospital System Inc CurrentSince Feb 28, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.