Individual provider Active NPI

Samer M Bashiti, D.O.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1770744831
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.128119 Issued in IL
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

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 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
I20110722000520 IL Practitioner - Emergency Medicine 4385812023 Reassigns benefits to 9 organizations
I20250305003536 WI Practitioner - Emergency Medicine 4385812023 Reassigns benefits to 8 organizations

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
Emergency Services Midwest SCGroup PAC ID 2769746056, 37 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

LicenseStateTypeSpecialty
3111WIMDOptometrist
036.128119ILMDEmergency Medicine Physician
OT012698PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
CGH Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Endeavor Health Medical Group Emergency Medicine CurrentSince Jan 27, 2023 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 15, 2024 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Jan 26, 2025 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 CurrentSince Jan 1, 2026 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 3, 2026 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Dec 22, 2019 Accepting new patients
Swedish Covenant Management Services, Inc Emergency Medicine CurrentSince Dec 22, 2019 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Jan 26, 2025 Accepting new patients
CGH Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 27, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 15, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 26, 2025 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

  • Direct secure messaging: 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.

View all 32

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.