Samer A El-Chemeitelli, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Harriman, TN
NPI 1780765461 · NPPES record last updated Jul 1, 2020
Key facts
- NPI
- 1780765461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 41558 (TN)
- Practice address
- 525 Devonia St Ste a
Harriman, TN 37748-2163 - Phone
- (865) 882-0046
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Group Inc
Practice addresses (Care Compare)
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
525 Devonia St
Suite B
Harriman, TN 37748-2163
Phone (865) 882-0046
Hospital & facility affiliations
- Roane Medical Center
- Fort Loudoun Medical Center
- Cumberland Medical Center
- Parkwest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070613000504 | TN | Practitioner - Pulmonary Disease |
2567560634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000041558 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Pulmonary Disease | Current |
Accepting new patients |
| Covenant Medical Group, Inc | Current |
Accepting new patients | |
| Roane Medical Center | Hospitalist | Past | Accepting new patients |
Locations
525 Devonia St
Ste A
Harriman, TN 37748
Phone (615) 882-5701
525 Devonia St
Ste B
Harriman, TN 37748
Phone (865) 882-0046
280 Fort Sanders West Blvd
Ste 205
Knoxville, TN 37922
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
- elchemeitelli.samer@covenanthealth.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD0000041558 | TN | |
| Pulmonary Disease Physician | 207RP1001X | 41558 | TN | Yes |
Addresses
Primary practice location
525 Devonia St Ste a
Harriman, TN 37748-2163
Mailing address
525 Devonia St Ste a
Harriman, TN 37748-2163
Phone (865) 882-0046
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0000041558 | Other | TN | MEDICAL LICENSE NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elchemeitelli.samer@covenanthealth.cernerdirect.com |
Other providers in Harriman, TN
- Lauren R Duncan
- East Tennessee Children'S Primary Care Center, Inc.
- Patrecia Elise Eaton
- James Hollis Eble
- Jason Hollis Eble
- Conway Ella
- Jonathan Elmore
- Enhanced Fittings
- Enhanced Fittings
- Elizabeth Grace Escolar
All providers in Harriman, TN · Pulmonary Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.