Individual provider Active NPI

Nicholas Samaha

  • Physician Assistant
  • Glen Allen, VA
National Provider Identifier
1689132094
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007194 Issued in VA
Practice address
2151 Old Brick Rd
Glen Allen, VA 23060-5837
Phone
(843) 957-4804
NPI assigned
Mar 5, 2019
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110007194 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2151 Old Brick Rd
Glen Allen, VA 23060-5837

Mailing address

2151 Old Brick Rd
Glen Allen, VA 23060-5837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214000110 VA Practitioner - Physician Assistant 0244623395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

300 N Washngton Hwy
Ashland, VA 23005-1626
Phone (804) 537-2905

46200 Potomac Run PLZ
Sterling, VA 20164-6622
Phone (571) 313-5087

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007194VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1689132094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD BRICK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 OLD BRICK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605837",
            "telephone_number": "843-957-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAHA",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007194",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.