Active NPI
Samara Khatib, MD
- Internal Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09336400
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2549
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09336400 | NJ | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
30 Midwood Dr
Florham Park, NJ 07932-1811
Phone (646) 509-5052
Other practice location 1
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000
Other practice location 2
112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 217-4300
Other practice location 3
3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 985-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, KY, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131028000222 | PA | Practitioner - Hospitalist | 5193950210 | Reassigns benefits to 1 organization |
| I20140527001502 | NJ | Practitioner - Internal Medicine | 5193950210 | Reassigns benefits to 2 organizations |
| I20221108002432 | KY | Practitioner - Internal Medicine | 5193950210 | Reassigns benefits to 1 organization |
| I20230501000380 | TN | Practitioner - Internal Medicine | 5193950210 | Reassigns benefits to 3 organizations |
| I20230901001902 | GA | Practitioner - Internal Medicine | 5193950210 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PCWellspan Medical Group
Practice addresses (Care Compare)
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011
112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7771
651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370
7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Vanderbilt Clarksville Hospital
- Physicians Regional Medical Center
- Wellspan Waynesboro Hospital
- Colquitt Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| App of Tennessee HM, PLLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Cookeville Hospitalist Group, PLLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Colquitt Regional Hospitalists, LLC | Current | Accepting new patients | |
| The Chambersburg Hospital | Past | Accepting new patients |
Locations
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- skhatib299157@wellspan.direct-ci.com
Organizations & group practices 19
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
Internal Medicine, NJ
-
- Podiatrist
- Fayetteville, PA
- NPI 1700567260
-
- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pulmonary Disease Physician
- York, PA
- NPI 1073756672
-
- Podiatrist
- Greencastle, PA
- NPI 1336827526
Hospital & facility affiliations 11
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": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1366754152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MIDWOOD DR",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321811",
"telephone_number": "646-509-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2549"
}
],
"practiceLocations": [
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011720",
"country_code": "US",
"telephone_number": "717-217-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3131 S Main St",
"address_purpose": "LOCATION",
"city": "Moultrie",
"state": "GA",
"postal_code": "317686925",
"country_code": "US",
"telephone_number": "229-985-3420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATIB",
"first_name": "SAMARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09336400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.