Active NPI
Samuel Kirk Payne, MD
- Hematology & Oncology Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101047339
- Practice address
- 1051 Loftis Blvd Ste 100
Newport News, VA 23606-3069 - Phone
- (757) 873-9400
- Fax
- (757) 873-9420
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 4301085153 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 0101047339 | VA | Primary |
Addresses
Primary practice location
1051 Loftis Blvd Ste 100
Newport News, VA 23606-3069
Mailing address
1051 Loftis Blvd Ste 100
Newport News, VA 23606-3069
Phone (757) 873-9400
Other practice location 1
1440 E Sherman Blvd
Suite 200
Muskegon, MI 49444-1816
Phone (231) 737-3469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740366970 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 470-8490
3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Kidney Health Clinic,PC | Past | Accepting new patients | |
| Wings of Hope Hospice and Palliative Care, Inc. | Past | Accepting new patients | |
| Oncology & Hematology PC | Past | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
Interoperability endpoints
- spayne446103@direct.medicine.duke.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Durham, NC
- NPI 1962721308
-
- Nephrology Physician
- Battle Creek, MI
- NPI 1548389141
-
- Specialist
- Kalamazoo, MI
- NPI 1538204169
-
- Community Based Hospice Care Agency
- Allegan, MI
- NPI 1609871425
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740366970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 LOFTIS BLVD STE 100",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063069",
"telephone_number": "757-873-9400",
"fax_number": "757-873-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 LOFTIS BLVD STE 100",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063069",
"telephone_number": "757-873-9400",
"fax_number": "757-873-9420"
}
],
"practiceLocations": [
{
"address_1": "1440 E Sherman Blvd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441816",
"country_code": "US",
"telephone_number": "231-737-3469",
"fax_number": "213-737-4548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "SAMUEL",
"middle_name": "KIRK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MI",
"license": "4301085153",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101047339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740366970",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.