Individual provider Active NPI

Nasrollah Samiy, MD

  • Retina Specialist (Ophthalmology) Physician
  • Rock Hill, SC
National Provider Identifier
1730159401
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
19895 Issued in SC
Practice address
724 Arden Lane
Suite 220
Rock Hill, SC 29732
Phone
(803) 323-2020
Fax
(803) 329-7897
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 19895 SC Primary

Addresses

Primary practice location

724 Arden Lane
Suite 220
Rock Hill, SC 29732

Mailing address

724 Arden Lane
Suite 220
Rock Hill, SC 29732
Phone (803) 323-2020

Other identifiers 3

IdentifierTypeStateIssuer
1861433013OtherRAILROAD MEDICARE
89063K3MedicaidNC
N01139MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110408000369 NC Practitioner - Ophthalmology 5395762421 Reassigns benefits to 3 organizations
I20120112000665 SC Practitioner - Ophthalmology 5395762421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of the CarolinasGroup PAC ID 0244257376, 3 clinicians

Practice addresses (Care Compare)

2007 Randolph Rd
Charlotte, NC 28207-1233
Phone (704) 332-1700

724 Arden LN
Suite 220
Rock Hill, SC 29732-2995
Phone (803) 323-2020

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Apr 5, 2021 Accepting new patients
Carolinas Medical Center Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 5, 2021 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Apr 5, 2021 Accepting new patients
Retina Institute of the Carolinas Retina Specialist CurrentSince Mar 1, 2002 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 5, 2021 Accepting new patients
Central Carolina Surgical Eye Associates, P.a. Past Accepting new patients
Oliver Eye Associates PA Past Accepting new patients
Oliver Eye Associates PA Past Accepting new patients

Locations

2007 Randolph Rd
Charlotte, NC 28207
Phone (704) 332-1700

1801 Rozzelles Ferry Rd
Charlotte, NC 28208
Phone (704) 446-9987

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

561 Cox Rd
Gastonia, NC 28054
Phone (704) 864-7722

2311 Aberdeen Blvd
Ste B2
Gastonia, NC 28054
Phone (704) 864-7722

4101 Campus Ridge Rd
Ste 100
Matthews, NC 28105

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

724 Arden Ln
Ste 220
Rock Hill, SC 29732
Phone (803) 323-2020

Interoperability endpoints

  • Direct secure messaging: nsamiy499460@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1730159401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ARDEN LANE",
            "address_2": "SUITE 220",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-323-2020",
            "fax_number": "803-329-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ARDEN LANE",
            "address_2": "SUITE 220",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-323-2020",
            "fax_number": "803-329-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIY",
        "first_name": "NASROLLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "19895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1861433013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063K3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01139",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.