Individual provider Active NPI

Samy Selim, MD

  • Internal Medicine Physician
  • Manhasset, NY
National Provider Identifier
1366682445
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271369 Issued in NY
Practice address
300 Community Drive
Manhasset, NY 11030
Phone
(516) 562-2338
Fax
(516) 562-2087
NPI assigned
Mar 2, 2009
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42272 KY
Internal Medicine Physician 207R00000X 271369 NY Primary
Cardiovascular Disease Physician 207RC0000X 271369 NY
Interventional Cardiology Physician 207RI0011X 271369 NY

Addresses

Primary practice location

300 Community Drive
Manhasset, NY 11030

Mailing address

300 Community Drive
Manhasset, NY 11030
Phone (732) 861-4139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130910000726 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular SurgeryPractitioner - Internal Medicine 2961646138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Vascular Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2000 N Village Ave
Suite 108
Rockville Centre, NY 11570-1001
Phone (516) 678-1444

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

875 Jerusalem Ave
Uniondale, NY 11553-3038
Phone (516) 572-1510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42272KYMDInternal Medicine Physician
271369NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Sep 22, 2014 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Aug 15, 2025 Accepting new patients
CHS Physician Partners, PC Interventional Cardiology Current Accepting new patients
Heart and Health PLLC CurrentSince Sep 15, 2024 Accepting new patients
CHS Physician Partners, PC CurrentSince Aug 15, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince Feb 9, 2015 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Sep 22, 2014 Accepting new patients
Nassau Health Care Corporation CurrentSince Feb 9, 2015 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology Past Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 804-2100

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

610 Broadhollow Rd
Melville, NY 11747
Phone (631) 301-3007

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

2000 N Village Ave
Ste 108
Rockville Ctr, NY 11570
Phone (516) 678-1444

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: samyselim@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: sselim104600@direct-chsli.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1366682445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DRIVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "732-861-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DRIVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-562-2338",
            "fax_number": "516-562-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIM",
        "first_name": "SAMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42272",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271369",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "271369",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "271369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.