Samer Elhakim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A64024 Issued in CA

Practice address

459 W Line St Ste C
Bishop, CA 93514-3333

Phone

(760) 784-7020

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samer.elhakim.p4@direct.vht.nextgenshare.com
• Direct secure messaging: selhakim605025@direct.ochin.org

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.

• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1497961106
  Medicare reassignment NPD
• Samer Elhakim MD PA

  • Family Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1174895361
  NPD (past) Authorized official
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1356714646
  NPD
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)
• Instant Medical Care Center Inc

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1376852566
  NPD (past)
• Medivital Health Center LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1528855343
  NPD (past)
• Sunny Isles Medical-Associates Inc

  • Chiropractor
  • Sunrise, FL
  • NPI 1417056128
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1396720710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18260 NE 19TH AVE",
            "address_2": "SUITE 201",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621632",
            "telephone_number": "305-956-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W LINE ST STE C",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143333",
            "telephone_number": "760-784-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18260 NE 19th Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331621632",
            "country_code": "US",
            "telephone_number": "305-956-9062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELHAKIM",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79405",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Sierra Urology Prof Corp
• Alison Eddins, MA, CCC-SLP
• Heather Edwall, MSW
• James M. Eidel, MD
• Kirstie Eisenmann, MS
• Paul Elia
• Alex DS Ellis, MFT
• Emery Joseph Duncan DDS Apc
• Paulette Erwin
• Jayme Leigh Everhart, FNP-C

• Family Medicine Physician in Bishop, CA
• Providers in Bishop, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.