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

Active since March 29, 2010PECOS Enrolled
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: October 25, 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 and maintains 18 additional practice locations.

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
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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Shanley Sack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Bryan Sack reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Pediatric Specialists, LLC
Same address
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232
Promedica Children's Specialists
1.4 mi
Pediatrics
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1245444959 (567) 585-1969
Regents Of The University Of Michigan
44 mi
Urology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 71 clinicians in this Medicare group
NPI 1437184884 (734) 936-4000
Edward W. Sparrow Hospital Association
78 mi
Emergency Medicine
800 E COLUMBIA ST
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1689683641 (517) 244-8900
Children's Surgical Associates, Corporation
122 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000
Nationwide Children's Hospital
122 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Metropolitan Hospital
136 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Bryan Sack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Sack reassigns Medicare benefits to 7 organizations: Northwest Pediatric Specialists, LLC (Toledo, OH), Promedica Children's Specialists (Toledo, OH), Regents Of The University Of Michigan (Ann Arbor, MI), Edward W. Sparrow Hospital Association (Mason, MI), Children's Surgical Associates, Corporation (Columbus, OH) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Sack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Sack accept?

Health plans from CareSource 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 23 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.