DR. EDMUND SAMI SABANEGH JR. M.D.
NPI 1669451506
Urology in Lackland Afb, TX
About Dr. Edmund Sami Sabanegh Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDMUND SAMI SABANEGH JR. M.D. (NPI 1669451506) is an individual urology provider in Lackland Afb, Texas, licensed in Virginia (0101040527) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edmund Sami Sabanegh Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edmund Sabanegh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Wellsboro, PA 16901
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 830 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACKLAND AFB, TX 78236
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 Edmund Sabanegh's NPI number?
The NPI number for Edmund Sabanegh is 1669451506. It was assigned to this individual provider in the NPPES registry on January 10, 2006.
Where is Edmund Sabanegh located?
Edmund Sabanegh practices at 2200 Berquist Dr Ste 1, Credentials/Cmc, Lackland Afb, TX 78236. The listed phone number is (210) 292-6002.
What is Edmund Sabanegh's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Edmund Sabanegh enrolled in Medicare?
Yes. Edmund Sabanegh 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.
Which organizations bill Medicare for Edmund Sabanegh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Sabanegh reassigns Medicare benefits to 2 organizations: The Cleveland Clinic Foundation (Avon, OH) and Guthrie Medical Group, P.C. (Wellsboro, PA). 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 Edmund Sabanegh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edmund Sabanegh accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edmund Sabanegh 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 Edmund Sabanegh was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Edmund Sami Sabanegh Jr., M.D. · NPI 1669451506
Urology physician in Lackland Afb, Texas. Individual provider, active in the CMS NPPES registry since January 10, 2006.
## Identity
- **NPI:** 1669451506 (Entity type: Individual)
- **Enumerated:** January 10, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 0101040527 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 BERQUIST DR, STE 1, CREDENTIALS/CMC, Lackland Afb, TX 78236-5300
- **Phone:** (210) 292-6002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); Guthrie Medical Group, P.C. (NPI 1952350167, Wellsboro, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669451506) · Data from the CMS NPPES public registry.