Active NPI
Samer Shawki Mikhail, DO
- Internal Medicine Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01063995A
- Practice address
- 31116 Wrencrest Dr
Wesley Chapel, FL 33543-7882 - Phone
- (866) 654-9126
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01063995A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 3040 | WV |
Addresses
Primary practice location
31116 Wrencrest Dr
Wesley Chapel, FL 33543-7882
Mailing address
31116 Wrencrest Dr
Wesley Chapel, FL 33543-7882
Phone (866) 654-9126
Other practice location 1
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 845-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000
Hospital & facility affiliations
- Buchanan General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063995A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Point Pleasant Physician Billing Services | Emergency Medicine | Current | Accepting new patients |
Locations
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020
2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020
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.
-
- Family Medicine Physician
- Huntington, WV
- NPI 1962433177
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Elkins, WV
- NPI 1093438830
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1730386707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31116 WRENCREST DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335437882",
"telephone_number": "866-654-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31116 WRENCREST DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335437882",
"telephone_number": "866-654-9126"
}
],
"practiceLocations": [
{
"address_1": "800 Wheeling Ave",
"address_purpose": "LOCATION",
"city": "Glen Dale",
"state": "WV",
"postal_code": "260381660",
"country_code": "US",
"telephone_number": "304-845-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHAIL",
"first_name": "SAMER",
"middle_name": "SHAWKI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01063995A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "3040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.