Individual provider Active NPI

Samer Shawki Mikhail, DO

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1730386707
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01063995A Issued in IN
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

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 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
I20160204000572 WV Practitioner - Internal MedicinePractitioner - Emergency Medicine 4789837527 Reassigns benefits to 1 organization
I20200310000001 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 4789837527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency 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
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

Hospital & facility affiliations

  • Buchanan General Hospital Hospital, Grundy, VA, CCN 490127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063995AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Feb 1, 2020 Accepting new patients
Point Pleasant Physician Billing Services Emergency Medicine CurrentSince Mar 3, 2019 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.