Active NPI
Abraham Samra, M.D.
- Nephrology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 302557
- Practice address
- 1122 Avenue P
Brooklyn, NY 11229-1025 - Phone
- (718) 376-1004
- Fax
- (718) 376-1150
- NPI assigned
- Dec 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 302557 | NY | Primary |
Addresses
Primary practice location
1122 Avenue P
Brooklyn, NY 11229-1025
Mailing address
1122 Avenue P
Brooklyn, NY 11229-1025
Phone (718) 376-1004
Other practice location 1
585 Schenectady Ave # K4
Brooklyn, NY 11203-1822
Phone (718) 363-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004
150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000
16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000
301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300
8714 5TH Ave
Brooklyn, NY 11209-5204
Phone (718) 630-8600
Hospital & facility affiliations
- Fresenius Kidney Care Kings County South
- BCRD Williamsburg Center For Renal Dialysis
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302557 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Nyumc Radiology Associates | Past | Accepting new patients |
Locations
8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600
1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546
360 W 31st St
New York, NY 10001
Phone (212) 563-9639
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- asamra353975@nyumc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Williamsburg Center for Renal Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1093476723
Dialysis facility
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1740724376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291025",
"telephone_number": "718-376-1004",
"fax_number": "718-376-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291025",
"telephone_number": "718-376-1004",
"fax_number": "718-376-1150"
}
],
"practiceLocations": [
{
"address_1": "585 Schenectady Ave # K4",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112031822",
"country_code": "US",
"telephone_number": "718-363-6771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMRA",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-16",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "302557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.