Individual provider Active NPI

Sabah Hamad, MD

  • Surgery Physician
  • Cary, NC
National Provider Identifier
1285634600
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200000223 Issued in NC
Practice address
530 New Waverly PL
Ste. 304
Cary, NC 27518-7414
Phone
(919) 851-9193
Fax
(919) 851-9223
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200000223 NC Primary

Addresses

Primary practice location

530 New Waverly PL
Ste. 304
Cary, NC 27518-7414

Mailing address

107 Monarch Way
Cary, NC 27511-8975
Phone (919) 854-2929

Other identifiers 7

IdentifierTypeStateIssuer
016W6OtherNCBC/BS GROUP ID #
1253MOtherNCBC/BS INDIVIDUAL ID#
5900017MedicaidNC
891253MMedicaidNC
2000-00223OtherNCNC MEDICAL LICENSE #
5082560OtherNCAETNA PROVIDER #
8722516OtherNCCIGNA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050428001070 NC Practitioner - General Surgery 3678512688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000223NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates, PA Surgery CurrentSince Mar 21, 2005 Accepting new patients
Raleigh Durham Medical Group PA Surgery PastSince Jul 25, 2021 Accepting new patients

Locations

530 New Waverly Pl
Ste 304
Cary, NC 27518
Phone (888) 799-9120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1285634600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONARCH WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275118975",
            "telephone_number": "919-854-2929",
            "fax_number": "919-851-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW WAVERLY PL",
            "address_2": "STE. 304",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187414",
            "telephone_number": "919-851-9193",
            "fax_number": "919-851-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "SABAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP ID #",
            "identifier": "016W6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL ID#",
            "identifier": "1253M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900017",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891253M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE #",
            "identifier": "2000-00223",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5082560",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "8722516",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.