NPIMap

Individual provider Active NPI

Samer Jabbour, MD

  • Cardiovascular Disease Physician
  • Wausau, WI
National Provider Identifier
1043215692
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
80983 Issued in MA
Practice address
500 Wind Ridge Dr.
Wausau, WI 54401-4173
Phone
(715) 847-2611
Fax
(715) 847-2612
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 80983 MA Primary

Addresses

Primary practice location

500 Wind Ridge Dr.
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr.
Wausau, WI 54401-4173
Phone (715) 847-2611

Other identifiers 12

IdentifierTypeStateIssuer
0034112OtherNEIGHBORHOOD HEALTH PLAN
6831013OtherHEALTHSOURCE
AA19892OtherMAHARVARD PILGRIM HEALTHCAR
F83102OtherNHANTHEM BLUE CROSS
3165078MedicaidMA
2733012OtherCIGNA
969675OtherNETWORK HEALTH
771560OtherMATUFTS HEALTH PLAN
J17569OtherMABLUE CROSS BLUE SHIELD
25-03479OtherEVERCARE
30205047OtherNHNH MEDICAID
P00187696OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000050 WI Practitioner - Cardiovascular Disease (Cardiology) 7810950136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 675-2321

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8112

2225 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

2275 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 870-2162

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

601 S Ctr Ave
Merrill, WI 54452-3404
Phone (715) 847-2611

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 346-5000

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 847-2611

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.16
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80983MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 19, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 19, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 2, 2015 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 2, 2015 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

6951 S Michigan St
Three Lakes, WI 54562
Phone (715) 546-2543

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2400

500 Wind Ridge Dr
Wausau, WI 54401

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: sjabbour14539@direct.aspirus.org

Organizations & group practices 11

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1043215692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "80983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0034112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "6831013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA19892",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "F83102",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3165078",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2733012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "969675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "771560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J17569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "25-03479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICAID",
            "identifier": "30205047",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.