BRYAN SHANLEY SACK M.D.
NPI 1487979951
Urology - Pediatric Urology in Toledo, OH
NPI Status: Active since March 29, 2010
Contact Information
2222 CHERRY ST STE 1800
TOLEDO, OH
ZIP 43608
Phone: (419) 251-4300
- Individual
- Male
- Years of Experience 16
- Urology
- Pediatric Urology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRYAN SACK
This page provides the complete NPI Profile along with additional information for Bryan Sack, a provider established in Toledo, Ohio with a medical specialization in Urology, focusing in pediatric urology and more than 16 years of experience. He graduated from Wayne State University School Of Medicine in 2010. The healthcare provider is registered in the NPI registry with number 1487979951 assigned on March 2010. The practitioner's primary taxonomy code is 2088P0231X with license number 35.149791 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1487979951
- Provider Name
- BRYAN SHANLEY SACK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2222 CHERRY ST STE 1800 TOLEDO, OH 43608
- Location Phone
- (419) 251-4300
- Mailing Address
- 2222 CHERRY ST STE 1800 TOLEDO, OH 43608
- Mailing Phone
- (419) 251-4300
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2010
- Last Update Date
- 11-19-2024
- Code Navigator
Location Map
Secondary Locations
- 8930 Ohio River Rd
Wheelersburg, OH 45694
(614) 722-2000 - 1500 East Medical Center Dr 4th floor Clinic B CS Mott Childrens Hosp Rm 4807
Ann Arbor, MI 48109
(734) 936-7030 - 4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623
(419) 517-7658 - 3020 N McCord Rd
Toledo, OH 43615
(419) 517-7658 - 4363 All Seasons Dr
Hilliard, OH 43026
(614) 722-2000 - 830 W High St
Lima, OH 45801
(614) 722-2000 - 405 Butterfly Gardens Dr
Columbus, OH 43215
(614) 722-2000 - 1 Childrens Plz
Dayton, OH 45404
(614) 722-2000 - 7901 Diley Rd
Canal Winchester, OH 43110
(614) 722-2000 - 555 S 18th St
Columbus, OH 43205
(614) 722-2000 - 536 S Trimble Rd
Mansfield, OH 44906
(614) 722-2000 - 455 Executive Campus Dr
Westerville, OH 43082
(614) 722-2000 - 5675 Venture Dr
Dublin, OH 43017
(614) 722-2000 - 700 Childrens Dr
Columbus, OH 43205
(614) 722-2000 - 6435 E Broad St
Columbus, OH 43213
(614) 722-2000 - 7853 Pacer Dr
Delaware, OH 43015
(614) 722-2000 - 740 Adair Ave
Zanesville, OH 43701
(614) 722-2000 - 26 Hospital Dr
Athens, OH 45701
(614) 722-2000
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
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35.149791
- License State
- OH
- Taxonomy Description
- 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).
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 | 208800000X | Allopathic & Osteopathic Physicians | Urology | 4301114274 (MI) |
| 2 | 208800000X | Allopathic & Osteopathic Physicians | Urology | 35.149791 (OH) |
| 3 | 2088P0231X | Allopathic & Osteopathic Physicians | Urology | 4301114274 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H0024826-CSA | OTHER (01) | OH | CGS |
| 0433417 | MEDICAID (05) | OH | |
| H0013934-NWPS | OTHER (01) | OH | CGS |
Medicare Participation & PECOS Enrollment Status
Bryan Sack 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.
Bryan Sack 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: 6901153352
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: I20240219003116
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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487979951, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
TOLEDO, OH 43608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487979951, enumerated as an "individual" on March 29, 2010.
The provider is located at 2222 CHERRY ST STE 1800 TOLEDO, OH 43608 and the phone number is (419) 251-4300.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
