Active NPI
Samara Services LLC
- Internal Medicine Physician
- Milwaukee, WI
National Provider Identifier
1083874481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SAMARA SERVICES LLC
- Practice address
- 5301 W Hampton Ave
Milwaukee, WI 53218-5019 - Phone
- (414) 247-9005
- Fax
- (414) 247-9004
- NPI assigned
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Yousef Samara, MD
- Title
- Member/Owner
- Phone
- (414) 247-9005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5301 W Hampton Ave
Milwaukee, WI 53218-5019
Mailing address
P O Box 639
Thiensville, WI 53092-0639
Phone (414) 247-9005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32170400 | Medicaid | WI | |
| 000173606 | Other | MEDICARE PTAN INDIDUAL | |
| 000073606 | Other | MEDICARE PTAN GROUP |
Other names 1
- House Call MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1083874481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 639",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530920639",
"telephone_number": "414-247-9005",
"fax_number": "414-247-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 W HAMPTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532185019",
"telephone_number": "414-247-9005",
"fax_number": "414-247-9004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SAMARA",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "YOUSEF",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "414-247-9005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32170400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIDUAL",
"identifier": "000173606",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "000073606",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "House Call MD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.