Individual provider Active NPI

Samuel Hammerman, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Shavertown, PA
National Provider Identifier
1235135484
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD044919L Issued in PA
Practice address
6 Windy Dr
Shavertown, PA 18708-9329
Phone
(724) 396-1284
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians Group 1,606 clinicians

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8202

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050526000661 PA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4486696705 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 4, 2014 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2010 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 1, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 4, 2014 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2014 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jul 1, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2010 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Pulmonary and Critical Care Associates Specialist Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD044919L PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD044919L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

6 Windy Dr
Shavertown, PA 18708-9329

Mailing address

6 Windy Dr
Shavertown, PA 18708-9329
Phone (724) 396-1284

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
8944OtherPAHEALTH AMERICA/HEALTH ASS
8944OtherPAADVANTRA
363707OtherPAHIGHMARK
0016898820001MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2014.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1235135484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WINDY DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089329",
            "telephone_number": "724-396-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WINDY DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089329",
            "telephone_number": "724-396-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERMAN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD044919L",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD044919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "8944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "8944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "363707",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016898820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

Verify at the official NPI Registry.