NPIMap

Individual provider Active NPI

Samir Tawfik Abdelshaheed, M.D.

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1598720245
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101236853 Issued in VA
Practice address
3925 Portsmouth Blvd
Chesapeake, VA 23321-3624
Phone
(757) 488-3333
Fax
(757) 488-0007
NPI assigned
Apr 18, 2006
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101236853 VA Primary

Addresses

Primary practice location

3925 Portsmouth Blvd
Chesapeake, VA 23321-3624

Mailing address

3925 Portsmouth Blvd
Chesapeake, VA 23321-3624
Phone (757) 488-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060411000752 VA Practitioner - Family Practice 1951310465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Healthcare PLLCGroup PAC ID 7315956828, 7 clinicians

Practice addresses (Care Compare)

3925 Portsmouth Blvd
Chesapeake, VA 23321-3624
Phone (757) 488-3333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Healthcare PLLC Family Medicine CurrentSince Oct 7, 2005 Accepting new patients

Locations

3925 Portsmouth Blvd
Chesapeake, VA 23321
Phone (757) 488-3333

6111 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 488-3333

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/73278
  • Direct secure messaging: samirabdelshaheed@fmhc.allscriptsdirect.net

Organizations & group practices 1

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1598720245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213624",
            "telephone_number": "757-488-3333",
            "fax_number": "757-488-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213624",
            "telephone_number": "757-488-3333",
            "fax_number": "757-488-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELSHAHEED",
        "first_name": "SAMIR",
        "middle_name": "TAWFIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.