Individual provider Active NPI

Elie S Semaan, MD

  • Vascular Surgery Physician
  • Springfield, MA
National Provider Identifier
1336208792
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
230519 Issued in MA
Practice address
300 Stafford St Ste 210
Springfield, MA 01104-3513
Phone
(413) 748-9378
Fax
(413) 748-9387
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 230519 MA
Surgery Physician 208600000X 47597 AZ
Vascular Surgery Physician 2086S0129X 47597 AZ
Vascular Surgery Physician 2086S0129X 16327 NH
Vascular Surgery Physician 2086S0129X 230519 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 210
Springfield, MA 01104-3513

Mailing address

300 Stafford St Ste 210
Springfield, MA 01104-3513
Phone (413) 748-9378

Other identifiers 2

IdentifierTypeStateIssuer
3104130MedicaidNH
110120894AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160609000333 NH Practitioner - Vascular SurgeryPractitioner - General Surgery 7416002183 Reassigns benefits to 1 organization
I20170328000918 MA Practitioner - General SurgeryPractitioner - Vascular Surgery 7416002183 Reassigns benefits to 1 organization
I20210108002286 CT Practitioner - Vascular Surgery 7416002183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

300 Stafford St
Suite 210
Springfield, MA 01104-3513
Phone (413) 748-9378

Hospital & facility affiliations

  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)47
Removal of tissue18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47597AZMDSurgery Physician
230519MAMDVascular Surgery Physician
16327NHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 4, 2021 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice CurrentSince Oct 26, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 4, 2021 Accepting new patients
Riverbend Medical Group, Inc. Surgery CurrentSince May 1, 2020 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
Brooklyn Radiology Services PC Past Accepting new patients
Mwa,PC Surgery Past Accepting new patients
Park Slope Physician Services PC Past Accepting new patients
Physicians Medical PC PastSince Mar 1, 2015 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

300 Stafford St
Ste 210
Springfield, MA 01104
Phone (413) 737-2277

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

300 Stafford St
Springfield, MA 01104
Phone (413) 737-1600

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

333 Bothwick Ave
Ste 402
Portsmouth, NH 03801
Phone (603) 433-5110

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: eliesemaan@bfs.medalliesdirect.net
  • Direct secure messaging: elie.semaan@hca6.eclinicaldirectplus.com
  • Direct secure messaging: esemaan200118@direct-guthrie.org
  • Direct secure messaging: esemaan2388041@direct.trinity-health.org

Organizations & group practices 11

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 5

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1336208792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 210",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043513",
            "telephone_number": "413-748-9378",
            "fax_number": "413-748-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 210",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043513",
            "telephone_number": "413-748-9378",
            "fax_number": "413-748-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMAAN",
        "first_name": "ELIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "230519",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "47597",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "47597",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "16327",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "230519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104130",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120894A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.