Active NPI
Samyra C Sealy, M.D.
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1407084726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D71875
- Practice address
- 3700 Odonnell St
Baltimore, MD 21224-5269 - Phone
- (312) 262-2739
- Fax
- (312) 564-4059
- NPI assigned
- Jun 25, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D71875 | MD | Primary |
Addresses
Primary practice location
3700 Odonnell St
Baltimore, MD 21224-5269
Mailing address
1340 S Damen Ave Ste 400
Chicago, IL 60608-1169
Phone (312) 262-2739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D71875 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Family Care, Inc. | Family Medicine | Current | Accepting new patients |
| Joel D Meshulam, MD, PA | Past | Accepting new patients | |
| Helixcare Medical Group, LLC | Past | Accepting new patients | |
| Alegis Care - District of Columbia PC | Family Medicine | Past | Accepting new patients |
Locations
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
Interoperability endpoints
- samyra.sealy.p1@direct.alegiscare.nextgenshare.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- samyra.sealy.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 4
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.
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-
- Primary Care Clinic/Center
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- NPI 1922335165
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376126318
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1407084726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 S DAMEN AVE STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081169",
"telephone_number": "312-262-2739",
"fax_number": "312-564-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 ODONNELL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245269",
"telephone_number": "312-262-2739",
"fax_number": "312-564-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALY",
"first_name": "SAMYRA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D71875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.