Samira Abdelrehim
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Farmington, CT
NPI 1225823743 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1225823743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 14366 (CT)
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0001 - Phone
- (860) 679-2000
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250708000876 | CT | Order and Referring Only - Dentist |
6901310473 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 14366 | CT | Yes |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0001
Mailing address
59 Belden Rd
Burlington, CT 06013-1432
Phone (860) 751-8641
Other providers in Farmington, CT
- Joseph Aabye
- Patricia Marie Abad
- Nour Abdallah
- Omar Fathy Abdelatey
- Reham Abdelsalam
- Thuraya Abdi
- Ezzat Abdoun
- Arif Salman Abdul Shakore
- Lena Mohamed Abou Elatta
All providers in Farmington, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.