NPIMap

Individual provider Active NPI

Samer A Nasry, MD

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1427002971
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301052864 Issued in MI
Practice address
24230 Karim Blvd
Suite#125
Novi, MI 48375-2960
Phone
(248) 474-2700
Fax
(248) 474-2721
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301052864 MI Primary

Addresses

Primary practice location

24230 Karim Blvd
Suite#125
Novi, MI 48375-2960

Mailing address

24230 Karim Blvd
Suite#125
Novi, MI 48375-2960
Phone (248) 474-2700

Other practice location 1

2539 Ellsworth Rd
Ypsilanti, MI 48197-5619
Phone (734) 330-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000183 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 7012929771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2539 Ellsworth Rd
Ypsilanti, MI 48197-5619
Phone (904) 730-1596

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care One Internal Medicine Current Accepting new patients
Medical Care One Internal Medicine, PLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Aug 25, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Urgent Care One, PLLC Past Accepting new patients
River Urgent Care & Medical Clinic PC Past Accepting new patients

Locations

32663 Grand River Ave
Farmington, MI 48336

6200 Middlebelt Rd
Garden City, MI 48135
Phone (734) 367-9100

43535 Grand River Ave
Novi, MI 48375
Phone (248) 946-4500

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

18930 West Rd
Woodhaven, MI 48183
Phone (734) 307-7018

2539 Ellsworth Rd
Ypsilanti, MI 48197
Phone (734) 330-2800

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1427002971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD",
            "address_2": "SUITE#125",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-474-2700",
            "fax_number": "248-474-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD",
            "address_2": "SUITE#125",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-474-2700",
            "fax_number": "248-474-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2539 Ellsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481975619",
            "country_code": "US",
            "telephone_number": "734-330-2800",
            "fax_number": "734-794-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASRY",
        "first_name": "SAMER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301052864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.