Individual provider Active NPI

Samuel H Sarraf III, DC

  • Chiropractor
  • Latrobe, PA
National Provider Identifier
1932195658
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002535L Issued in PA
Practice address
1901 Ligonier St
Latrobe, PA 15650-3178
Phone
(724) 537-5266
Fax
(724) 537-6703
NPI assigned
Sep 27, 2005
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002535L PA Primary

Addresses

Primary practice location

1901 Ligonier St
Latrobe, PA 15650-3178

Mailing address

1901 Ligonier St
Latrobe, PA 15650-3178
Phone (724) 537-5266

Other identifiers 1

IdentifierTypeStateIssuer
1583046OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000904 PA Practitioner - Chiropractic 4981643194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Ligonier St
Suite a
Latrobe, PA 15650-3178
Phone (724) 537-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002535LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Latrobe Chiropractic Health Center Chiropractor CurrentSince Nov 19, 1982 Accepting new patients
Back in Motion Chiropractic, LLC Past Accepting new patients
Neurological Institute of Western Pennsylvania PC Past Accepting new patients

Locations

1901 Ligonier St
Latrobe, PA 15650
Phone (724) 537-5266

1901 Ligonier St
Ste A
Latrobe, PA 15650
Phone (724) 537-5266

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1932195658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503178",
            "telephone_number": "724-537-5266",
            "fax_number": "724-537-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503178",
            "telephone_number": "724-537-5266",
            "fax_number": "724-537-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAF",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002535L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1583046",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.