Samer Yousef Abu-Amer, M.D.
Individual provider Active NPI Family Medicine Physician · Independence, MO
NPI 1154880474 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1154880474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2022032022 (MO)
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (913) 222-9779
- Fax
- (816) 312-4380
- NPI assigned
- Mar 16, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pandc Healthcare LLC
Practice addresses (Care Compare)
19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779
Hospital & facility affiliations
- Centerpoint Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20220916000914 | MO | Practitioner - Family Practice | 0749518827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022032022 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P&C Healthcare LLC | Current |
Accepting new patients | |
| P & C Consultant Services | Past | Accepting new patients | |
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients |
Locations
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
Interoperability endpoints
- samer.abuamer@hca2.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DHAEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2022032022 | MO | Yes |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779
Other providers in Independence, MO
- Abc Dental LLC
- Robert E Abernathy
- Kumar Abhishek
- Syed Ali Raza Abidi
- Absolutely Chiropractic & Acupuncture, LLC
- Access Counseling Network
- Malcolm Basinillo Acierto
- Erika L Acord
- Active Body Chiropractic & Wellness, LLC
- Meghan Anne Earley Adamczak
All providers in Independence, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. 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.