Individual provider Active NPI

Ramsha Samra

  • Foot & Ankle Surgery Podiatrist
  • Wyandotte, MI
National Provider Identifier
1467077644
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5951001386 Issued in MI
Practice address
1628 Ford Ave
Wyandotte, MI 48192-2304
Phone
(734) 284-1333
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5951001386 MI Primary

Addresses

Primary practice location

1628 Ford Ave
Wyandotte, MI 48192-2304

Mailing address

5450 Fort St
Trenton, MI 48183-4601

Other practice location 1

24566 Southfield Rd
Southfield, MI 48075-2711
Phone (248) 423-4220

Other practice location 2

5450 Fort St
Trenton, MI 48183-4601
Phone (313) 436-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230718004097 MI Practitioner - Podiatry 9133541949 Reassigns benefits to 4 organizations
I20250207003071 OH Practitioner - Podiatry 9133541949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 W Pearl St
Findlay, OH 45840-1332
Phone (419) 424-0380

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions54
Removal of nail tissue409
Removal or shaving of skin growth148
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates NH Care PLLC Foot & Ankle Surgery CurrentSince Jul 17, 2023 Accepting new patients
Foot and Ankle Associates Clinic PLLC Foot & Ankle Surgery CurrentSince Jul 17, 2023 Accepting new patients
Foot and Ankle Associates Home Visits PLLC Foot & Ankle Surgery CurrentSince Jul 17, 2023 Accepting new patients
Foot and Ankle Associates in Patient PLLC Foot & Ankle Surgery CurrentSince Jul 17, 2023 Accepting new patients
Blanchard Valley Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Dec 8, 2025 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Dec 8, 2025 Accepting new patients
Blanchard Valley Medical Associates, Inc CurrentSince Jan 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

23077 Greenfield Rd
Ste 255
Southfield, MI 48075
Phone (248) 559-5200

24566 Southfield Rd
Southfield, MI 48075
Phone (248) 423-4220

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

1628 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-1311

200 W Pearl St
Findlay, OH 45840
Phone (419) 424-0380

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1689
  • Direct secure messaging: ramsha.samra@bvma.gwaydirect.com

Organizations & group practices 9

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 1

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1467077644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24566 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752711",
            "country_code": "US",
            "telephone_number": "248-423-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "313-436-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "RAMSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.