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BRYAN SHANLEY SACK M.D.
NPI 1487979951
Urology - Pediatric Urology in Toledo, OH

Active since March 29, 2010PECOS EnrolledAccepts Medicare Assignment
2222 CHERRY ST STE 1800, TOLEDO, OH 43608(419) 251-4300 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Jul 25, 2024, Jun 28, 2024 and 4 more (7 updates tracked since 2018).

About Bryan Shanley Sack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN SHANLEY SACK M.D. (NPI 1487979951) is an individual pediatric urology provider in Toledo, Ohio, licensed in Ohio (35.149791) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, maintains 18 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1487979951
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameBRYAN SHANLEY SACKCredential: M.D.
Location Address2222 CHERRY ST STE 1800Toledo, OH 43608-2679
Mailing Address2222 Cherry St Ste 1800Toledo, OH 43608-2679 · (419) 251-4300
Phone(419) 251-4300
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2010
Enumeration DateMarch 29, 2010
Last NPPES UpdateNovember 19, 20247 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1487979951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in OH · 35.149791✔ Licensed in MI · 4301114274
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 4301114274 (MI), 35.149791 (OH)
2222 CHERRY ST STE 1800, Toledo, OH 43608
Open in Google Maps ↗

Secondary Practice Locations 18

Location 14363 All Seasons DrHilliard, OH 43026-2050 · Phone (614) 722-2000
Location 28930 Ohio River RdWheelersburg, OH 45694-1922 · Phone (614) 722-2000
Location 34126 N Holland Sylvania Rd Ste 220Toledo, OH 43623-3537 · Phone (419) 517-7658
Location 4700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 55675 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 6455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-2000
Location 7536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2000
Location 87853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-2000
Location 9555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-2000
Location 107901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 722-2000
Location 11830 W High StLima, OH 45801-3971 · Phone (614) 722-2000
Location 12405 Butterfly Gardens DrColumbus, OH 43215-3427 · Phone (614) 722-2000
Location 131 Childrens PlzDayton, OH 45404-1873 · Phone (614) 722-2000
Location 146435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-2000
Location 151500 East Medical Center Dr, 4th floor Clinic B CS Mott Childrens Hosp Rm 4807Ann Arbor, MI 48109-4217 · Phone (734) 936-7030 · Fax (734) 615-3520
Location 163020 N McCord RdToledo, OH 43615-1702 · Phone (419) 517-7658
Location 17740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-2000
Location 1826 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000

Other Identifiers 3

OtherH0024826-CSAOH · Cgs
Medicaid0433417OH
OtherH0013934-NWPSOH · Cgs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Shanley Sack M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901153352
PECOS Enrollment IDI20240219003116
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI R. KERN PA-C
Physician Assistant
2222 CHERRY ST STE 1800
TOLEDO, OH 43608
Lucas County (419) 251-4300
KELSI ERINN SABBAGH PA-C
Physician Assistant
2222 CHERRY ST STE 1800
TOLEDO, OH 43608
Lucas County (419) 251-4300
GINA MARIE LOCKWOOD M.D.
Urology (Pediatric Urology)
2222 CHERRY ST STE 1800
TOLEDO, OH 43608
Lucas County (419) 251-8027
MRS. MORGAN MARIE MOCNIAK ACPNP
Nurse Practitioner (Pediatrics)
2222 CHERRY ST STE 1800
TOLEDO, OH 43608
Lucas County (419) 251-8027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Sack's NPI number?

The NPI number for Bryan Sack is 1487979951. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Bryan Sack located?

Bryan Sack practices at 2222 Cherry St Ste 1800, Toledo, OH 43608. The listed phone number is (419) 251-4300.

What is Bryan Sack's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Bryan Sack enrolled in Medicare?

Yes. Bryan Sack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Sack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health list Bryan Sack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Sack was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.