Individual provider Active NPI

Sameh G Abuerreish, MD

  • Hematology & Oncology Physician
  • Worland, WY
National Provider Identifier
1447246202
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0434951 Issued in KS
Practice address
400 South 15TH Street
Worland, WY 82401
Phone
(307) 347-5810
Fax
(307) 347-5808
NPI assigned
Sep 26, 2005
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01049240A IN
Hematology & Oncology Physician 207RH0003X 23034 WV
Hematology & Oncology Physician 207RH0003X 0434951 KS Primary

Addresses

Primary practice location

400 South 15TH Street
Worland, WY 82401

Mailing address

400 South 15TH Street
Worland, WY 82401
Phone (307) 347-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150403001023 WY Practitioner - Hematology/Oncology 8527145671 Reassigns benefits to 1 organization
I20221020000221 CO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8527145671 Reassigns benefits to 1 organization
I20230918000971 AZ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8527145671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1405 Howell Ave
Worland, WY 82401-4127
Phone (307) 347-2555

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 526-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0434951KSMDHematology & Oncology Physician
23034WVMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 10, 2023 Accepting new patients
Banner Health Physicians West LLC CurrentSince Apr 1, 2018 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 15, 2022 Accepting new patients
Banner Health Physicians West LLC CurrentSince Apr 1, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 10, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 15, 2022 Accepting new patients
Banner Physician Specialists Arizona LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Hays Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

122 E Main St
Payson, AZ 85541
Phone (928) 474-2888

1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

702 Platinum Ave
Cody, WY 82414
Phone (307) 254-8268

1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771

318 N 6th St
Thermopolis, WY 82443
Phone (307) 347-5810

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

1405 Howell Ave
Worland, WY 82401
Phone (307) 347-2555

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

400 S 15th St
Ste 101
Worland, WY 82401
Phone (307) 347-3221

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 5

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1447246202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH 15TH STREET",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-5810",
            "fax_number": "307-347-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH 15TH STREET",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-5810",
            "fax_number": "307-347-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUERREISH",
        "first_name": "SAMEH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01049240A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WV",
            "license": "23034",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0434951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

Verify at the official NPI Registry.