DANIEL SAHM M.D.
NPI 1134514938
Hospitalist in Wilmington, DE
NPI Status: Active since March 30, 2015
Contact Information
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-4200
Fax: (302) 651-4945
- Individual
- Male
- Years of Experience 11
- Hospitalist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DANIEL SAHM
This page provides the complete NPI Profile along with additional information for Daniel Sahm, a provider established in Wilmington, Delaware with a medical specialization in Hospitalist and more than 11 years of experience. He graduated from Icahn School Of Medicine At Mount Sinai in 2015. The healthcare provider is registered in the NPI registry with number 1134514938 assigned on March 2015. The practitioner's primary taxonomy code is 208M00000X with license number C1-0013572 (DE). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1134514938
- Provider Name
- DANIEL SAHM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1600 ROCKLAND RD WILMINGTON, DE 19803
- Location Phone
- (302) 651-4200
- Location Fax
- (302) 651-4945
- Mailing Address
- PO BOX 191 ROCKLAND, DE 19732
- Mailing Phone
- (302) 651-4000
- Mailing Fax
- (302) 651-4945
- Medical School Name
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2015
- Last Update Date
- 06-01-2020
- Code Navigator
Location Map
Secondary Locations
- 300 Community Dr
Manhasset, NY 11030
(516) 562-0100 - 26901 76th Ave Ste 220
New Hyde Park, NY 11040
(718) 470-3368
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C1-0013572
- License State
- DE
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 294988-1 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Daniel Sahm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Daniel Sahm is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9234489865
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200416000119
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $25.17 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.15
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DANIEL SAHM M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 5 | 1 | 4 | 9 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 10 | 1 | 8 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 0 + 1 + 8 + 9 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1134514938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LAUREN GILBERT PA-C
Physician Assistant
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
DR. COLETTE COLLINS MULL M.D.
Emergency Medicine
(Pediatric Emergency Medicine)
1600 ROCKLAND RD
AI DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE
ZIP 19803
MRS. SUSAN DUBOWY PA-C
Physician Assistant
1600 ROCKLAND RD
DEPARTMENT OF ORTHOPEDICS, DUPONT HOSPITAL
WILMINGTON, DE
ZIP 19803
AREZOO ZOMORRODI M.D.
Pediatrics
(Pediatric Emergency Medicine)
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
LIESL RHENATA PERRY LOONEY AUD, CCC-A
Audiologist
1600 ROCKLAND RD
AUDIOLOGY DEPARTMENT
WILMINGTON, DE
ZIP 19803
LETITIA A KANAR RPH
Pharmacist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
ABIGAIL F. FREEDMAN MD
Pediatrics
(Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
DR. JOCELYN MICHELE GRAZELA M.D.
Pediatrics
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
MR. STEVEN B BRANGS R.PH
Pharmacist
1600 ROCKLAND RD
DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE
ZIP 19803
MR. DAVID ROVNER RPH
Pharmacist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
MR. MICHAEL JOHN GOLDSMITH MSW
Social Worker
(Clinical)
1600 ROCKLAND RD
A.I. DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE
ZIP 19803
DR. NINA POWELL-HAMILTON M.D.
Medical Genetics
(Clinical Genetics (M.D.))
1600 ROCKLAND RD
MEDICAL GENETICS
WILMINGTON, DE
ZIP 19803
DR. KELLY GRZYWACZ M.D.
Pediatrics
1600 ROCKLAND RD
A. I. DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE
ZIP 19803
MRS. JOANNE QUILLEN CRNP
Nurse Practitioner
(Pediatrics)
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
DR. VINAY VARDHAN REDDY KANDULA MBBS,FRCR, MRCP, DCH
Radiology
(Pediatric Radiology)
1600 ROCKLAND RD
DEPARTMENT OF RADIOLOGY, A.I DUPONT CHILDREN'S HOSPITAL
WILMINGTON, DE
ZIP 19803
MRS. AMY LYNN HARRISON M.A., CCC-A
Audiologist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
STACY SZYMKOWSKI M.A., CCC-A
Audiologist
1600 ROCKLAND RD
AUDIOLOGY DEPARTMENT
WILMINGTON, DE
ZIP 19803
STEPHANIE RUBAN
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
MISS HEATHER MARIE SMALL M.S. CCC-SLP
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
MRS. STACEY LYNN CHANDLER M.S., CCC-SLP
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134514938, enumerated as an "individual" on March 30, 2015.
The provider is located at 1600 ROCKLAND RD WILMINGTON, DE 19803 and the phone number is (302) 651-4200.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Aetna CVS Health and AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.
