Individual provider Active NPI

Madhurika Samakur, D.O.

  • Rheumatology Physician
  • Lawrenceville, GA
National Provider Identifier
1306042791
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
67086 Issued in GA
Practice address
989 Lawrenceville Hwy
Lawrenceville, GA 30046-4702
Phone
(770) 962-1616
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 67086 GA Primary

Addresses

Primary practice location

989 Lawrenceville Hwy
Lawrenceville, GA 30046-4702

Mailing address

989 Lawrenceville Hwy
Lawrenceville, GA 30046-4702
Phone (770) 962-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120214000792 GA Practitioner - Rheumatology 5597828798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glenn R Parris, MD PCGroup PAC ID 3577746130, 5 clinicians

Practice addresses (Care Compare)

4850 Sugarloaf Pkwy
Suite 501
Lawrenceville, GA 30044-2864
Phone (770) 962-1616

5271 Lawrenceville Hwy NW
Suite a
Lilburn, GA 30047-5922
Phone (770) 962-1616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67086GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Arthritis & Rheumatology Associates, LLC Rheumatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: m.samakur@parrisandassociates.azalea.phimailbox.com

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1306042791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464702",
            "telephone_number": "770-962-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464702",
            "telephone_number": "770-962-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAKUR",
        "first_name": "MADHURIKA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "67086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.