Active NPI
Reena P Samuel, M.D.
- Nephrology Physician
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35074119
- Practice address
- 1711 27TH St Ste 301
Portsmouth, OH 45662-2669 - Phone
- (740) 356-5393
- Fax
- (740) 356-7804
- NPI assigned
- Jan 2, 2007
- Last updated
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35074119 | OH | Primary |
Addresses
Primary practice location
1711 27TH St Ste 301
Portsmouth, OH 45662-2669
Mailing address
1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061432 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reena.samuel1@somc.medicity.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Nephrology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290
1711 27TH St
Portsmouth, OH 45662-2669
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117
Hospital & facility affiliations
- Dci - Portsmouth
- Dci - Seaman
- Southern Ohio Medical Center
- Adams County Regional Medical Center
- Adena Regional Medical Center
- Kings Daughters Medical Center Ohio
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.06 of 100
- Quality
- 90
- Improvement activities
- 0
- Cost
- 80.2
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074119 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Southern Ohio Nephrology, Inc. | Nephrology | Current | Accepting new patients |
Locations
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
1711 27th St
Ste 30
Portsmouth, OH 45662
Phone (740) 354-5393
1711 27th St
Ste 301
Portsmouth, OH 45662
Phone (740) 354-5393
1727 27TH St BLDG H
Ste 202
Portsmouth, OH 45662
Phone (740) 354-5393
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
Interoperability endpoints
- reena.samuel@somc.medicity.net
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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Nephrology Physician
- Portsmouth, OH
- NPI 1962569749
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portsmouth, OH
- NPI 1487687877
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seaman, OH
- NPI 1689607160
Dialysis facility
-
- Critical Access Hospital
- Seaman, OH
- NPI 1851946909
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
dba King's Daughters Medical Center - Ohio
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1629135462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST STE B06",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622681",
"telephone_number": "740-356-8681",
"fax_number": "740-356-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 27TH ST STE 301",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622669",
"telephone_number": "740-356-5393",
"fax_number": "740-356-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "REENA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35074119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061432",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reena.samuel1@somc.medicity.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1711 27th St Ste 301",
"city": "Portsmouth",
"state": "OH",
"country_code": "US",
"postal_code": "456622669",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.