Individual provider Active NPI

Samir Noshy Rizk, MD

  • Internal Medicine Physician
  • Salem, VA
National Provider Identifier
1194759449
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61429 Issued in TN
Practice address
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone
(540) 982-2463
Fax
(540) 855-3469
NPI assigned
Jul 11, 2006
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01048124A IN
Internal Medicine Physician 207R00000X 61429 TN Primary

Addresses

Primary practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Mailing address

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210603001697 TN Practitioner - Internal Medicine 3274771118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2305 N Gateway Ave
Unit 4
Harriman, TN 37748-8683
Phone (866) 866-9277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048124AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Centers of Tennessee, PC CurrentSince May 1, 2021 Accepting new patients
DRD Management, Inc CurrentSince Mar 1, 2022 Accepting new patients
Crossroads Treatment Centers of Tennessee, P.C. CurrentSince May 1, 2021 Accepting new patients
DRD Management, Inc Current Accepting new patients
Niles Professional Services, Inc Internal Medicine Past Accepting new patients

Locations

55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

2305 N Gateway Ave
Unit 4
Harriman, TN 37748
Phone (452) 213-4882

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

114 Perkins Ln
Jacksboro, TN 37757
Phone (864) 436-7266

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

1910 Ailor Ave
Knoxville, TN 37921
Phone (844) 535-7291

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

110 Raleigh Rd
Oak Ridge, TN 37830

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1194759449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536404",
            "telephone_number": "540-982-2463",
            "fax_number": "540-855-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536404",
            "telephone_number": "540-982-2463",
            "fax_number": "540-855-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "SAMIR",
        "middle_name": "NOSHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048124A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "61429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.