Individual provider Active NPI

Samir Rahbe, MD

  • Internal Medicine Physician
  • Cleveland, TN
National Provider Identifier
1073665642
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021187 Issued in TN
Practice address
2825 Westside Dr NW
Cleveland, TN 37312-3504
Phone
(423) 472-2155
Fax
(423) 472-1913
NPI assigned
Jan 17, 2007
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 MD021187 TN Primary

Addresses

Primary practice location

2825 Westside Dr NW
Cleveland, TN 37312-3504

Mailing address

2825 Westside Dr NW
Cleveland, TN 37312-3504
Phone (423) 472-2155

Other identifiers 1

IdentifierTypeStateIssuer
3057487MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101027000062 TN Practitioner - Internal Medicine 0749271773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 Westside NWDR
Cleveland, TN 37312-3504
Phone (423) 472-2155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD021187TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Family Physicians Internal Medicine CurrentSince Aug 1, 1997 Accepting new patients
LP Cleveland LLC Past Accepting new patients

Locations

2825 Westside Dr NW
Cleveland, TN 37312
Phone (423) 472-2155

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1073665642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123504",
            "telephone_number": "423-472-2155",
            "fax_number": "423-472-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123504",
            "telephone_number": "423-472-2155",
            "fax_number": "423-472-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBE",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD021187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057487",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.