NPIMap

Individual provider Active NPI

Sheba Sam

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1093268567
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016344 Issued in PA
Practice address
Doylestown Health Hospitalists
595 W. State Street
Doylestown, PA 18901
Phone
(215) 345-2885
Fax
(215) 345-2552
NPI assigned
Aug 1, 2016
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016344 PA Primary
Registered Nurse 163W00000X RN591219 PA

Addresses

Primary practice location

Doylestown Health Hospitalists
595 W. State Street
Doylestown, PA 18901

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161207000494 PA Practitioner - Nurse Practitioner 2668752759 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians
Montgomery County Pulmonary and Sleep Consultants PCGroup PAC ID 0345226247, 31 clinicians
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown Health Hospitalists
Doylestown, PA 18901-2554
Phone (215) 345-2200

601 Dresher Rd
Suite 203
Horsham, PA 19044-2232
Phone (215) 774-8656

7600 Central Ave
Philadelphia, PA 19111-2499
Phone (215) 728-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN591219PAMDRegistered Nurse
SP016344PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Via Affiliates CurrentSince Jan 14, 2022 Accepting new patients
Temple Physician Inc. CurrentSince Nov 1, 2016 Accepting new patients
Temple Physicians Inc. CurrentSince Nov 1, 2016 Accepting new patients
Via Affiliates CurrentSince Jan 14, 2022 Accepting new patients
Clinical Specialty Associates CurrentSince Jan 13, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 15, 2024 Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC CurrentSince Mar 1, 2024 Accepting new patients
Clinical Specialty Associates CurrentSince Jan 13, 2026 Accepting new patients
Temple Physicians Inc Current Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1093268567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOYLESTOWN HEALTH HOSPITALISTS",
            "address_2": "595 W. STATE STREET",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "SHEBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016344",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN591219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.