Sammy Elyas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2016-00071 Issued in NC

Practice address

3700 S Main St
Blacksburg, VA 24060-7017

Phone

(540) 951-1111

NPI assigned

Nov 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Sami Elyas Alawed Mohammed Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sammy.elyas.2@10112.direct.athenahealth.com

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.

• Adfinitas Health at Fauquier, LLC

  • Hospitalist Physician
  • Warrenton, VA
  • NPI 1225558109
  Medicare reassignment NPD
• DLP Twin County Physician Practices LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Galax, VA
  • NPI 1962078527
  Medicare reassignment NPD
• DLP Twin County Physician Practices LLC

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925
  NPD
• DLP Twin County Physician Practices, LLC

  • Cardiovascular Disease Physician
  • Galax, VA
  • NPI 1124522404
  NPD
• DLP Twin County Physician Practices LLC

  • Family Medicine Physician
  • Galax, VA
  • NPI 1235404047
  NPD (past)
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1679529051
  NPD (past)
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1821419508
  NPD (past)

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1447657150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CEDAR ST APT 3816",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021293",
            "telephone_number": "202-790-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5244B N Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282150053",
            "country_code": "US",
            "telephone_number": "704-536-0073",
            "fax_number": "704-535-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYAS",
        "first_name": "SAMMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-00071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4791598",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5881078",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH1101980",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS/MULTIPLAN",
            "identifier": "13477061",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447657150",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "260609",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - GREATWEST",
            "identifier": "5339371",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19H2J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMI",
            "last_name": "MOHAMMED",
            "middle_name": "ELYAS ALAWED",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Watson Allen Edwards, RN
• Laura Eichenlaub, LPC
• Hannah Einstein, LPC
• Douglas Ray Eitel, MD
• Brian Ekey, D.O.
• Emafini Mountain Lodge Inc
• Colleen Marie Emerson
• Arielle Emmett
• Empath to Wellness Limited Liability Corporation
• Empower Womens Health

• Pediatrics Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.

Verify at the official NPI Registry.