DR. YAZAN MUSALLEM SARSOUR (DO) – Emergency Medicine Physician, NPI 1629021324

DR. YAZAN MUSALLEM SARSOUR (DO) is a healthcare provider. based in Bowling green, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34007644 (OH). The NPI Number for DR. YAZAN MUSALLEM SARSOUR (DO) is 1629021324

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. YAZAN MUSALLEM SARSOUR (DO)
NPI
1629021324
Phone
(419) 373-7642
Address
950 W WOOSTER ST
Enumeration Date
17 May 2006
Last Update Date
29 January 2016

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4193737642
Graduation Year
1993 (33 years ago)
PAC ID
4284643024
Group Practice PAC ID
2668887209
Professional Enrollment ID
I20060913000105
Address ID
OH434022603BO950XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for DR. YAZAN MUSALLEM SARSOUR (DO)

  • Wood County Hospital, 950, West Wooster Street, Foxgate Farm, Westgate Homes, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 434022603

    Phone: (419) 373-7642

    Fax: (419) 704-6758

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $931.

Total Amount is formed as General ($931) + Research ($0) + Ownership ($0) = $931.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Inari Medical, Inc. ($192).

Total Amount

$931

General + Research + Ownership

Payments

13

Total payment records

General Amount

$931

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060913000105IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making173168$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only131118$0
99284Emergency department visit with moderate level of medical decision making8179$0
99291Critical care, first 30-74 minutes7067$0
View full utilization report →

Insurance plans in this area (ZIP 43402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668887209View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

Is there an official ID for DR. YAZAN MUSALLEM SARSOUR (DO) in U.S. healthcare records?
The official identifier for DR. YAZAN MUSALLEM SARSOUR (DO) is NPI 1629021324.
Is DR. YAZAN MUSALLEM SARSOUR (DO) shown as active in public data?
Registry records indicate DR. YAZAN MUSALLEM SARSOUR (DO) maintains an active NPI.
How would a patient describe DR. YAZAN MUSALLEM SARSOUR (DO)'s focus?
For DR. YAZAN MUSALLEM SARSOUR (DO), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. YAZAN MUSALLEM SARSOUR (DO)?
Travel planning: use Bowling Green, Ohio as the reference point for DR. YAZAN MUSALLEM SARSOUR (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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