NPIMap

Individual provider Active NPI

Sameh Nabelsi, M.D.

  • Internal Medicine Physician
  • Flossmoor, IL
National Provider Identifier
1518923515
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036122835 Issued in IL
Practice address
19624 Govenors Hwy
Suite 9
Flossmoor, IL 60422-2038
Phone
(708) 747-5850
Fax
(708) 747-9991
NPI assigned
Apr 26, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31724 AZ
Internal Medicine Physician 207R00000X 036122835 IL Primary

Addresses

Primary practice location

19624 Govenors Hwy
Suite 9
Flossmoor, IL 60422-2038

Mailing address

19624 Governors Hwy
Suite 9
Flossmoor, IL 60422-2077
Phone (708) 647-9800

Other identifiers 1

IdentifierTypeStateIssuer
796815-01MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsamehnabelsi@nabelsimd.kareodirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090612000313 IL Practitioner - Internal Medicine 1951464387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19624 Governors Hwy
Suite 9
Flossmoor, IL 60422-2060
Phone (708) 647-9800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sameh Nabelsi MD SC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Caplea Family Medicine Family Medicine Past Accepting new patients
Tbird Hospitalist Group, LLC Internal Medicine Past Accepting new patients

Locations

Dept 5941
Carol Stream, IL 60122

19624 Governors Hwy
Ste 9
Flossmoor, IL 60422
Phone (708) 647-9800

Interoperability endpoints

  • Direct secure messaging: drsamehnabelsi@nabelsimd.kareodirect.com

Organizations & group practices 3

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 8

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1518923515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19624 GOVERNORS HWY",
            "address_2": "SUITE 9",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222077",
            "telephone_number": "708-647-9800",
            "fax_number": "708-647-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19624 GOVENORS HWY",
            "address_2": "SUITE 9",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222038",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABELSI",
        "first_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31724",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796815-01",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsamehnabelsi@nabelsimd.kareodirect.com",
            "affiliation": "N",
            "address_1": "19624 Govenors Hwy",
            "address_2": "Suite 9",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604222038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.