NPIMap

Individual provider Active NPI

Samer Alsamman

  • Pulmonary Disease Physician
  • Saint Clair Shores, MI
National Provider Identifier
1669720835
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301106756 Issued in MI
Practice address
21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 48081-1156
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
Aug 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 4301106756 MI
Pulmonary Disease Physician 207RP1001X 4301106756 MI Primary

Addresses

Primary practice location

21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 48081-1156

Mailing address

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Other practice location 1

50505 Schoenherr Rd Ste 290
Shelby Twp, MI 48315-3141
Phone (586) 314-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180124000125 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 4587923313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates PC 19 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Professional CurrentSince Nov 10, 2018 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Nov 10, 2018 Accepting new patients
Pulmonary & Critical Care Associates PC Pulmonary Disease CurrentSince Jun 1, 2018 Accepting new patients
Michigan Emergency Services CurrentSince Feb 1, 2018 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

3990 John R St
#3
Detroit, MI 48201

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

18720 Mack Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (586) 314-0080

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

50505 Schoenherr Rd
Ste 290
Shelby Township, MI 48315
Phone (248) 879-5620

21000 E 12 Mile Rd
Ste 112
St Clr Shores, MI 48081
Phone (586) 314-0080

Interoperability endpoints

  • Direct secure messaging: samer.alsamman@pcca.eclinicaldirectplus.com
  • Direct secure messaging: salsamman1159706@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • Direct secure messaging: salsamman27911@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1669720835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 112",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50505 Schoenherr Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483153141",
            "country_code": "US",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSAMMAN",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106756",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301106756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.