Active NPI
Samir Y Wassef, M.D.
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
National Provider Identifier
1346208519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036086342
- Practice address
- 2222 W Division St
Suite 330
Chicago, IL 60622-2717 - Phone
- (773) 227-0111
- Fax
- (773) 227-0006
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036086342 | IL | Primary |
Addresses
Primary practice location
2222 W Division St
Suite 330
Chicago, IL 60622-2717
Mailing address
415 East North Water Street
Suite #2005
Chicago, IL 60611-5824
Phone (312) 968-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086342 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036086342 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Neopediatrix | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Metropolitan Neopediatrix, SC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Interoperability endpoints
- swassef217062@direct.franciscanalliance.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metropedix
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
- NPI 1407959893
-
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
- NPI 1447218615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1346208519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 EAST NORTH WATER STREET",
"address_2": "SUITE #2005",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115824",
"telephone_number": "312-968-0000",
"fax_number": "312-277-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST",
"address_2": "SUITE 330",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222717",
"telephone_number": "773-227-0111",
"fax_number": "773-227-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSEF",
"first_name": "SAMIR",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036086342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086342",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.