Individual provider Active NPI

Samar Hijazi, MD

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1003888090
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-120541 Issued in OH
Practice address
544 Patterson Blvd
Fairfield, OH 45014-2514
Phone
(513) 896-9595
Fax
(513) 896-4171
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-120541 OH Primary

Addresses

Primary practice location

544 Patterson Blvd
Fairfield, OH 45014-2514

Mailing address

5150 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 896-9595

Other practice location 1

5150 Sandy Ln
Fairfield, OH 45014-2738
Phone (513) 896-9595

Other practice location 2

7707 Paragon Rd
Suite 101
Dayton, OH 45459-4041
Phone (937) 208-6920

Other practice location 3

5150 Sandy Ln
Fairfield, OH 45014-2738
Phone (513) 896-9595

Other identifiers 1

IdentifierTypeStateIssuer
0082963MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000074 OH Practitioner - Internal Medicine 3274585104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

5150 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 896-9595

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-120541OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Jul 18, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 18, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 22, 2015 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jun 22, 2015 Accepting new patients
Tonawanda Medical Services, PC Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

7707 Paragon Rd
Ste 101
Dayton, OH 45459
Phone (937) 208-6920

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

5150 Sandy Ln
Fairfield, OH 45014
Phone (513) 645-1125

544 Patterson Blvd
Fairfield, OH 45014
Phone (513) 896-9595

Networks

  • KY PPO C-SNP
  • KY PPO
  • OH PPO
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1003888090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SANDY LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142738",
            "telephone_number": "513-896-9595",
            "fax_number": "513-896-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 PATTERSON BLVD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142514",
            "telephone_number": "513-896-9595",
            "fax_number": "513-896-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Sandy Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450142738",
            "country_code": "US",
            "telephone_number": "513-896-9595",
            "fax_number": "513-896-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7707 Paragon Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454594041",
            "country_code": "US",
            "telephone_number": "937-208-6920",
            "fax_number": "937-208-6948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 Sandy Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450142738",
            "country_code": "US",
            "telephone_number": "513-896-9595",
            "fax_number": "513-896-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "SAMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-120541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.