Active NPI
Samer M Bashiti, D.O.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.128119
- Practice address
- 886 N 26TH St
Philadelphia, PA 19130-1821 - Phone
- (267) 761-9620
- NPI assigned
- Jun 21, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3111 | WI | |
| Emergency Medicine Physician | 207P00000X | OT012698 | PA | |
| Emergency Medicine Physician | 207P00000X | 036.128119 | IL | Primary |
Addresses
Primary practice location
886 N 26TH St
Philadelphia, PA 19130-1821
Mailing address
886 N 26TH St
Philadelphia, PA 19130-1821
Other practice location 1
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- 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
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5644
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3111 | WI | MD | Optometrist |
| 036.128119 | IL | MD | Emergency Medicine Physician |
| OT012698 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Cep America - Illinois, LLP | Emergency Medicine | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Waupaca, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Presence Healthcare Services | Past | Accepting new patients |
Locations (25 of 28)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553
2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
9532 Eagle Way
Chicago, IL 60678
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
Interoperability endpoints
- sbashitido429153@carlehiedirect.net
Organizations & group practices 32
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.
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba Community First Emergency Medicine Group
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
dba Community Health Network, Inc and Berlin Memorial Hospital
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1770744831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 N 26TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 N 26TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301821",
"telephone_number": "267-761-9620"
}
],
"practiceLocations": [
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "715-258-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASHITI",
"first_name": "SAMER",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-21",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "3111",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT012698",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.128119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.