Samer Murad Fadl, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Clairton, PA
NPI 1154632305 · NPPES record last updated Oct 25, 2017
Key facts
- NPI
- 1154632305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- MD461325 (PA)
- Practice address
- 565 Coal Valley Rd
Clairton, PA 15025-3703 - Phone
- (412) 230-8200
- Fax
- (412) 202-8638
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Yale University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connecticut Imaging Partners LLC
Tic LLC
Jefferson Radiology PC
Practice addresses (Care Compare)
1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363
1260 Silas Deane Hwy 100
Wethersfield, CT 06109-4363
Phone 860289337587099
6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848
85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375
Hospital & facility affiliations
- Griffin Hospital
- Hartford Hospital
- Manchester Memorial Hospital
- Day Kimball Hospital
- Yale-New Haven Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004002816 | MA | Practitioner - Diagnostic Radiology | 3870881055 | Reassigns benefits to 7 organizations |
| I20200930000188 | CT | Practitioner - Diagnostic Radiology | 3870881055 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tic, LLC | Multi-Specialty | Current |
Accepting new patients |
| Connecticut Imaging Partners, LLC | Multi-Specialty | Current |
Accepting new patients |
| Farmington Imaging Center, LLC | Multi-Specialty | Current |
Accepting new patients |
| Chelmsford MRI, P.C. | Multi-Specialty | Current |
Accepting new patients |
| Chelmsford MRI, P.C. | Multi-Specialty | Current |
Accepting new patients |
Locations
399 Farmington Ave
Lowr 1
Farmington, CT 06032
85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589
111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554
6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847
1260 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109
Phone 860289337587099
1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844
200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000
115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician |
2085R0204X | MD461325 | PA | Yes |
| Diagnostic Radiology Physician |
2085R0202X | MD461325 | PA |
Addresses
Primary practice location
565 Coal Valley Rd
Clairton, PA 15025-3703
Mailing address
75 Remittance Dr Dept 8310
Chicago, IL 60675-8310
Other providers in Clairton, PA
- Matthew Dougherty
- Kristin Doyle
- Stephanie Leigh Ehland
- Emergency Physicians of Pittsburgh, LTD
- Ahmed M Fadl
- Emily N Farkas
- Miranda Marie Fee
- Forma Capillus, LLC
- Ashley Nicole Franczyk
- Lance R Fusselman
All providers in Clairton, PA · Vascular & Interventional Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.