Individual provider Active NPI

Amer Samdani, MD

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1760461537
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD424172 Issued in PA
Practice address
3551 N Broad St
Philadelphia, PA 19140-4105
Phone
(215) 430-4022
Fax
(215) 430-4079
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD424172 PA Primary

Addresses

Primary practice location

3551 N Broad St
Philadelphia, PA 19140-4105

Mailing address

Shriners Hospital for Children Philadelphia
Lockbox #7642 - PO Box 8500
Philadelphia, PA 19178-0001
Phone (813) 281-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000260 PA Practitioner - Neurosurgery 7618931726 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424172PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Shriners Hospitals for Children CurrentSince Feb 3, 2014 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 10, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2008 Accepting new patients
Shriners Hospitals for Children CurrentSince Feb 3, 2014 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2008 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan, Inc Neurological Surgery CurrentSince Mar 10, 2019 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Johns Hopkins University Neurological Surgery Past Accepting new patients
TPS IV of PA, LLC Neurological Surgery Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1645 W 8th St
Erie, PA 16505
Phone (814) 875-8700

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

5401 Old York Rd
Ste 5
Philadelphia, PA 19141
Phone (215) 456-6127

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

7500 Central Ave
Philadelphia, PA 19111
Phone (215) 214-4100

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1760461537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA",
            "address_2": "LOCKBOX #7642 - PO BOX 8500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-430-4022",
            "fax_number": "215-430-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMDANI",
        "first_name": "AMER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD424172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.