Individual provider Active NPI

Usama Samaan, MD

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1124316211
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01011255804 Issued in VA
Practice address
1770 N Parham Rd Ste 100
Richmond, VA 23229-4658
Phone
(804) 665-5457
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01011255804 VA Primary

Addresses

Primary practice location

1770 N Parham Rd Ste 100
Richmond, VA 23229-4658

Mailing address

1770 N Parham Rd Ste 100
Richmond, VA 23229-4658
Phone (804) 665-5457

Other identifiers 1

IdentifierTypeStateIssuer
3001743747001MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADM@parhampediatrics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160125000354 VA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7416250519 Reassigns benefits to 4 organizations
I20210607000600 DC Practitioner - Pediatric Medicine 7416250519 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01011255804VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Apr 12, 2021 Accepting new patients
Aloha Doctora Medicine, LLC Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
Childrens Hospital of the Kings Daughters Inc CurrentSince Nov 3, 2015 Accepting new patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Oct 1, 2017 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608
Phone (757) 283-8300

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1770 N Parham Rd
Ste 100
Richmond, VA 23229
Phone (252) 814-8679

1770 N Parham Rd
Ste 102
Richmond, VA 23229
Phone (804) 256-3355

Interoperability endpoints

  • Direct secure messaging: adm@parhampediatrics.com

Organizations & group practices 5

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1124316211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N PARHAM RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294658",
            "telephone_number": "804-665-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N PARHAM RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294658",
            "telephone_number": "804-665-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "USAMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "01011255804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001743747001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADM@parhampediatrics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1770 N Parham Rd Ste 100",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232294658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.