Sam M Elghor, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

42871 Issued in MN

Practice address

804 23Rd St S
Sartell, MN 56377-4705

Phone

(320) 230-7788

Fax

(320) 230-7789

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Center for Pain Management Ambulatory Surgery, LTD

  • Pain Medicine Physician
  • Alexandria, MN
  • NPI 1912329871
  Medicare reassignment NPD Authorized official
• Center for Pain Management, P.a.

  • Specialist
  • Sartell, MN
  • NPI 1215977079
  Medicare reassignment NPD Authorized official
• Center for Pain Management Ambulatory Surgery, LTD

  • Ambulatory Surgical Clinic/Center
  • Sartell, MN
  • NPI 1871104836
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1679513923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 23RD ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774705",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 23RD ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774705",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGHOR",
        "first_name": "SAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "42871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecumen SBC Sartell Properties, LLC (Chateau Waters)
• Ecumen SBC Sartell Properties, LLC (Chateau Waters Memory Care)
• Caryn Irene Ehni
• Donald Ekstrom
• Elements
• Kara A Engelbrektson, DDS
• Amanda Engelking, M.D.
• Cleo Rose English
• Cole Jean Engstrom-Bolstad
• Olivia Elizabeth Ertl, PT

• Interventional Pain Medicine Physician in Sartell, MN
• Providers in Sartell, MN by specialty
• Interventional Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.

Verify at the official NPI Registry.