NPIMap

Individual provider Active NPI

Heba Zuhair Samara, M.D.

  • Neurology Physician
  • Roswell, NM
National Provider Identifier
1669909743
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD2021-0640 Issued in NM
Practice address
400 Military Heights PL
Roswell, NM 88201-6407
Phone
(575) 627-9500
Fax
(575) 627-9535
NPI assigned
May 19, 2017
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD2021-0640 NM Primary

Addresses

Primary practice location

400 Military Heights PL
Roswell, NM 88201-6407

Mailing address

PO Box 1574
Roswell, NM 88202-1574
Phone (575) 627-9500

Other practice location 1

6071 West Outer Drive
Sinai Grace Hospital, Detroit Medical Center/Wayne Stat
Detroit, MI 48235
Phone (313) 966-1738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210714003690 NM Practitioner - Neurology 3274935150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Masoud Khorsand- Sahbaie MD P aGroup PAC ID 8729068911, 19 clinicians

Practice addresses (Care Compare)

400 Military Heights PL
Roswell, NM 88201-6407
Phone (575) 627-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Masoud Khorsand-Sahbaie, MD PA CurrentSince Jul 15, 2021 Accepting new patients
Masoud Khorsand- Sahbaie MD P a CurrentSince Jul 15, 2021 Accepting new patients

Locations

101 S Canal St
Carlsbad, NM 88220
Phone (575) 234-0500

3028 N Grimes St
Hobbs, NM 88240
Phone (575) 392-0222

400 Military Heights Pl
Roswell, NM 88201
Phone (575) 627-9110

407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110

Interoperability endpoints

  • Direct secure messaging: heba.samara.p1@direct.kymeramedical.nextgenshare.com

Organizations & group practices 2

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 8

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1669909743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021574",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILITARY HEIGHTS PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016407",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 West Outer Drive",
            "address_2": "Sinai Grace Hospital, Detroit Medical Center/Wayne Stat",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48235",
            "country_code": "US",
            "telephone_number": "313-966-1738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "HEBA",
        "middle_name": "ZUHAIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2021-0640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.