Individual provider Active NPI

Samer Masri, D.C.

  • Sports Physician Chiropractor
  • Arlington, VA
National Provider Identifier
1639232341
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104556660 Issued in VA
Practice address
3801 Fairfax Dr
Ste 12
Arlington, VA 22203-1762
Phone
(703) 243-7878
Fax
(703) 243-7880
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104556660 VA Primary

Addresses

Primary practice location

3801 Fairfax Dr
Ste 12
Arlington, VA 22203-1762

Mailing address

3801 Fairfax Dr
Ste 12
Arlington, VA 22203-1762
Phone (703) 243-7878

Other names 1

  • Dr. Sam Masri Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000072 DC Practitioner - Chiropractic 6507963931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro Physical Medicine, LLCGroup PAC ID 1052469939, 2 clinicians

Practice addresses (Care Compare)

3801 Fairfax Dr
Suite 12
Arlington, VA 22203-1762
Phone (703) 243-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556660VAMDSports Physician Chiropractor
011244NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Physical Medicine LLC CurrentSince Mar 12, 2009 Accepting new patients
Chiro Physical Medicine, LLC CurrentSince Mar 12, 2009 Accepting new patients
Healthmakers Medical Group, P.C. Past Accepting new patients

Locations

3801 Fairfax Dr
Ste 12
Arlington, VA 22203
Phone (703) 243-7878

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1639232341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR",
            "address_2": "STE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "703-243-7878",
            "fax_number": "703-243-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR",
            "address_2": "STE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "703-243-7878",
            "fax_number": "703-243-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASRI",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104556660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "MASRI",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.