Active NPI
Sameh Khamis Mobarek, M.D.
- Clinical Cardiac Electrophysiology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 9701822
- Practice address
- 300 Ashville Ave
301
Cary, NC 27518-8682 - Phone
- (919) 851-6901
- Fax
- (919) 851-9354
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9701822 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 9701822 | NC | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 9701822 | NC | Primary |
Addresses
Primary practice location
300 Ashville Ave
301
Cary, NC 27518-8682
Mailing address
300 Ashville Ave
301
Cary, NC 27518-8682
Phone (919) 851-6901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-11036 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smobarek7166@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 Blue Ridge Rd
Suite 400
Raleigh, NC 27607-6476
2800 Blue Ridge Rd
Suite 400
Raleigh, NC 27607-6477
Phone (919) 787-5380
5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704
Hospital & facility affiliations
- Rex Hospital
- Wakemed, Cary Hospital
- Unc Hospitals
- Betsy Johnson Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Healthcare | Past | Accepting new patients | |
| Rex Hospital Inc. | Past | Accepting new patients |
Locations
1505 SW Cary Pkwy
Ste 300
Cary, NC 27511
Phone (919) 387-3260
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2800 Blue Ridge Rd
Ste 400
Raleigh, NC 27607
Phone (919) 784-3756
11200 Governor Manly Way
Ste 303A
Raleigh, NC 27614
Phone (919) 570-7590
Interoperability endpoints
- smobarek7166@direct.unc.nchie.net
Organizations & group practices 6
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.
-
- Rehabilitation Clinic/Center
- Raleigh, NC
- NPI 1942519483
-
- Diagnostic Radiology Physician
- Raleigh, NC
- NPI 1831613363
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1376542878
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1609874130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "301",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-851-6901",
"fax_number": "919-851-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "301",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-851-6901",
"fax_number": "919-851-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBAREK",
"first_name": "SAMEH",
"middle_name": "KHAMIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9701822",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "9701822",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NC",
"license": "9701822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-11036",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smobarek7166@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1505 SW Cary Pkwy Ste 300",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "275116219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.