NPIMap

Individual provider Active NPI

Sara S Eapen, MD

  • Pediatrics Physician
  • Richmond HTS, OH
National Provider Identifier
1962507301
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
RF550466 Issued in OH
Practice address
27155 Chardon Rd Ste 205
Richmond HTS, OH 44143-1166
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Sep 13, 2006
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RF550466 OH Primary

Addresses

Primary practice location

27155 Chardon Rd Ste 205
Richmond HTS, OH 44143-1166

Mailing address

27155 Chardon Rd Ste 205
Richmond Heights, OH 44143-1166
Phone (440) 944-4070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saraeapen@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000662 OH Practitioner - Internal Medicine 7618011438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

730 Som Ctr Rd
Mayfield HTS, OH 44143-2362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RF550466OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Pediatrics CurrentSince Jun 1, 2000 Accepting new patients
University Primary Care Practices Inc Pediatrics CurrentSince Jun 1, 2000 Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

730 Som Center Rd
Ste 230
Mayfield Vlg, OH 44143
Phone (440) 461-6477

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

27155 Chardon Rd
Ste 205
Richmond Hts, OH 44143
Phone (440) 944-4070

Interoperability endpoints

  • Direct secure messaging: saraeapen@uhps.allscriptsdirect.net
  • Direct secure messaging: seapen37351@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1962507301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27155 CHARDON RD STE 205",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431166",
            "telephone_number": "440-944-4070",
            "fax_number": "440-944-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27155 CHARDON RD STE 205",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431166",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "SARA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "RF550466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saraeapen@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27155 Chardon Rd Ste 205",
            "city": "Richmond Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441431166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond HTS, OH

Sources for this page

Verify at the official NPI Registry.