Samina Yousuf, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101054913 Issued in VA

Practice address

142 Highland Dr
Lebanon, VA 24266-4636

Phone

(276) 889-0433

Fax

(276) 889-5537

NPI assigned

May 8, 2006

Last updated

May 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Internal Medicine

Education

College of Medicine and Surgery, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Samina Yousuf MD PCGroup PAC ID 4880660604, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell County Hospital Hospital, Lebanon, VA, CCN 490002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@communitymedical.e-mdsdirect.com

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.

• Samina Yousuf MD PC

  • Internal Medicine Physician
  • Lebanon, VA
  • NPI 1598853889
  Medicare reassignment Care Compare group NPD Authorized official
• Russell County Clinic Corp

  dba Lebanon Pediatrics

  • Pediatrics Physician
  • Lebanon, VA
  • NPI 1003834441
  NPD (past)

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

• Mountain States Health Alliance

  dba Russell County Hospital

  • General Acute Care Hospital
  • Lebanon, VA
  • NPI 1891973939
  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1275582389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664636",
            "telephone_number": "276-889-0433",
            "fax_number": "276-889-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664636",
            "telephone_number": "276-889-0433",
            "fax_number": "276-889-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "SAMINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "382745",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005850533",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "176423",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "174348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "VA0101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "010087000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010172632",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005880335",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "289808",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Whitt, RN, APRN, FNP-BC
• Kayla Williams
• Jeff Wimmer, PHARM.D.
• Wendy Denise Woods, PHARMD, RPH
• Stephanie Nicole Woodward, LDO

• Internal Medicine Physician in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.