Individual provider Active NPI

Samir R Neimat, M.D.

  • Vascular Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1730132929
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0018551 Issued in MD
Practice address
5454 Wisconsin Ave
Ste 1040
Chevy Chase, MD 20815-6901
Phone
(301) 270-1006
Fax
(301) 907-9221
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0018551 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave
Ste 1040
Chevy Chase, MD 20815-6901

Mailing address

5454 Wisconsin Ave
Suite 1040
Chevy Chase, MD 20815-6901
Phone (301) 270-8346

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080819000202 DC Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 1759305097 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0018551MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Plastic Surgery, LLC CurrentSince Jul 1, 2015 Accepting new patients
Affiliates in Plastic Surgery, LLC CurrentSince Jul 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 220
Alexandria, VA 22304
Phone (703) 832-4000

Organizations & group practices 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1730132929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1040",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-270-8346",
            "fax_number": "301-907-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "STE 1040",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-270-1006",
            "fax_number": "301-907-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAT",
        "first_name": "SAMIR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0018551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.