NPIMap

Individual provider Active NPI

Esber Nabeeh Shea Samara, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1255483319
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23410 Issued in OK
Practice address
5401 N. Portland Ave.
Suite 44D
Oklahoma City, OK 73112
Phone
(405) 943-1137
Fax
(405) 947-0731
NPI assigned
Jan 17, 2007
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23410 OK Primary

Addresses

Primary practice location

5401 N. Portland Ave.
Suite 44D
Oklahoma City, OK 73112

Mailing address

5401 N. Portland Ave.
Suite 44D
Oklahoma City, OK 73112
Phone (405) 943-1137

Other identifiers 2

IdentifierTypeStateIssuer
200197180AMedicaidOK
P00690631OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20080718000286 OK Practitioner - Urology 0446323885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of Central Oklahoma LLCGroup PAC ID 0042474371, 6 clinicians
Zuhdi Transplant PhysiciansGroup PAC ID 6507873403, 49 clinicians

Practice addresses (Care Compare)

3366 NW Expressway
Suite 500
Oklahoma City, OK 73112-4439
Phone (405) 943-1137

3400 NW 56TH St
700 Kidney Clinic
Oklahoma City, OK 73112-4419
Phone (405) 949-3816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.39

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
73.99
Promoting interoperability
100
Improvement activities
40
Cost
66.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of Central Oklahoma, LLC Urology CurrentSince May 1, 2012 Accepting new patients
Oklahoma Lithotripter Associates, L.C. Current Accepting new patients
Zuhdi Transplant Physicians CurrentSince Jul 1, 2008 Accepting new patients
Summit Medical Center Past Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients

Locations

3300 N West Expy
#100344
Oklahoma City, OK 73112

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3366 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 943-1137

3400 NW 56th St
Ste 700
Oklahoma City, OK 73112
Phone (405) 949-3816

5401 N Portland Ave
Ste 440
Oklahoma City, OK 73112
Phone (405) 604-4100

Interoperability endpoints

  • Direct secure messaging: esamara11215@direct.integrisok.com

Organizations & group practices 7

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1255483319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N. PORTLAND AVE.",
            "address_2": "SUITE 44D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-943-1137",
            "fax_number": "405-947-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N. PORTLAND AVE.",
            "address_2": "SUITE 44D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-943-1137",
            "fax_number": "405-947-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "ESBER NABEEH",
        "middle_name": "SHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "23410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197180A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00690631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.