Individual provider Active NPI

Cyrus Samai, M.D.

  • Pediatric Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1104861699
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
054662 Issued in GA
Practice address
1400 Tullie Rd NE Ste 630
Atlanta, GA 30329-2309
Phone
(404) 256-2593
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 054662 GA Primary

Addresses

Primary practice location

1400 Tullie Rd NE Ste 630
Atlanta, GA 30329-2309

Mailing address

2835 Brandywine Rd
#300
Atlanta, GA 30341-5510
Phone (404) 256-2593

Other practice location 1

355 Tower Rd NE
Ste 204
Marietta, GA 30060-9408
Phone (404) 256-2593

Other identifiers 1

IdentifierTypeStateIssuer
555872551AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040824000165 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 2365416559 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Apr 5, 2017 Accepting new patients
Union County Hospital Authority CurrentSince Jun 1, 2021 Accepting new patients
Union County Hospital Authority CurrentSince Jun 1, 2021 Accepting new patients
North Fulton Regional Medical Center Pro Fee Billing, LLC Past Accepting new patients

Locations

60 Executive Park South NE
Ste 100
Atlanta, GA 30329
Phone (404) 321-9444

1400 Tullie Rd NE
Ste 630
Atlanta, GA 30329
Phone (404) 633-4398

60 Executive Park South NE
Atlanta, GA 30329

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440

355 Tower Rd NE
Ste 204
Marietta, GA 30060

Interoperability endpoints

  • Direct secure messaging: cyrus.samai@westgahealth.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1104861699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BRANDYWINE RD",
            "address_2": "#300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415510",
            "telephone_number": "404-256-2593",
            "fax_number": "678-547-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TULLIE RD NE STE 630",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292309",
            "telephone_number": "404-256-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Tower Rd NE",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609408",
            "country_code": "US",
            "telephone_number": "404-256-2593",
            "fax_number": "678-547-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAI",
        "first_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "054662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555872551A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1400 Tullie Rd NE Ste 630",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303292309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.