NPIMap

Individual provider Active NPI

Samer Alnabhan, M.D.

  • Internal Medicine Physician
  • Statesville, NC
National Provider Identifier
1164648101
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016-02151 Issued in NC
Practice address
557 Brookdale Dr
Statesville, NC 28677-4107
Phone
(704) 997-5525
Fax
(704) 998-5351
NPI assigned
Apr 18, 2007
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TP612 KY
Internal Medicine Physician 207R00000X 2016-02151 NC Primary
Pediatrics Physician 208000000X 6496 KS
Pediatrics Physician 208000000X 2016-02151 NC

Addresses

Primary practice location

557 Brookdale Dr
Statesville, NC 28677-4107

Mailing address

PO Box 2530
Davidson, NC 28036-2530
Phone (704) 997-5525

Other identifiers 1

IdentifierTypeStateIssuer
2016-02151OtherNCLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address salnabhan189325@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170411002263 KY Practitioner - Internal Medicine 4981874377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ky, LLCGroup PAC ID 0244695104, 34 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Hamilton County HospitalGroup PAC ID 3072426121, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-4409

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

700 N Huser St
Syracuse, KS 67878-7700
Phone (620) 384-7350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP612KYMDInternal Medicine Physician
6496KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Ky, LLC CurrentSince Apr 1, 2023 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Pikeville Medical Center Inc. CurrentSince Feb 24, 2017 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Pikeville Medical Center Inc CurrentSince Feb 24, 2017 Accepting new patients
Frankfort Hospital, Inc. Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

200 E Chestnut St
#303
Louisville, KY 40202

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

Interoperability endpoints

  • Direct secure messaging: salnabhan189325@direct.nortonhealthcare.org

Organizations & group practices 8

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1164648101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280362530",
            "telephone_number": "704-997-5525",
            "fax_number": "704-998-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-997-5525",
            "fax_number": "704-998-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNABHAN",
        "first_name": "SAMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "TP612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-02151",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "6496",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-02151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2016-02151",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salnabhan189325@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 E Chestnut St # 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "200 E Chestnut St # 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.