Active NPI
Samer M Nuhaily, MD
- Rheumatology Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 74171
- Practice address
- 401 Phalen Blvd
Saint Paul, MN 55130-5302 - Phone
- (651) 254-7800
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A100357 | CA | |
| Rheumatology Physician | 207RR0500X | 74171 | MN | Primary |
| Internal Medicine Physician | 207R00000X | 12457 | NV | |
| Internal Medicine Physician | 207R00000X | 036.118507 | IL | |
| Rheumatology Physician | 207RR0500X | 036118507 | IL | |
| Rheumatology Physician | 207RR0500X | PT21515 | ND |
Addresses
Primary practice location
401 Phalen Blvd
Saint Paul, MN 55130-5302
Mailing address
602 West University Avenue
NCW4 - Provider Enrollment Specialist
Urbana, IL 61801-2530
Phone (217) 383-6792
Other practice location 1
1000 Mon Health Medical Park Dr Ste 1104
Morgantown, WV 26505-1143
Phone (043) 598-7296
Other practice location 2
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
Other practice location 3
10480 Gunpowder Falls St
Las Vegas, NV 89183-7929
Phone (702) 616-6936
Other practice location 4
360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (815) 338-6600
Other practice location 5
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
Other practice location 6
4309 W Medical Center Dr Ste B202
McHenry, IL 60050
Phone (815) 338-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036118507 | Other | IL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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
- Rheumatology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mon Health Medical Park Dr
Suite 1104
Morgantown, WV 26505-1143
Phone (304) 598-7296
Hospital & facility affiliations
- Mon Health Medical Center
- Uniontown Hospital
- Upmc Greene
- Mon Health Marion
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100357 | CA | MD | Internal Medicine Physician |
| 036.118507 | IL | MD | Internal Medicine Physician |
| 036118507 | IL | MD | Rheumatology Physician |
| PT21515 | ND | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Monongalia County General Hospital Company | Internal Medicine | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| Monongalia County General Hospital Company | Past | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
1000 Mon Health Medical Park Dr
Ste 1104
Morgantown, WV 26505
Phone (304) 598-7296
Organizations & group practices 5
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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Minot, ND
- NPI 1083653752
-
- Oral and Maxillofacial Surgery Clinic/Center
- Minot, ND
- NPI 1245272277
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Minot, ND
- NPI 1629636204
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Hall, WV
- NPI 1508441304
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1861409773
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1871594127
-
- General Acute Care Hospital
- Waynesburg, PA
- NPI 1225417421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1780879213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 WEST UNIVERSITY AVENUE",
"address_2": "NCW4 - PROVIDER ENROLLMENT SPECIALIST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012530",
"telephone_number": "217-383-6792",
"fax_number": "217-326-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551305302",
"telephone_number": "651-254-7800"
}
],
"practiceLocations": [
{
"address_1": "1000 Mon Health Medical Park Dr Ste 1104",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265051143",
"country_code": "US",
"telephone_number": "043-598-7296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 J D Anderson Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265053494",
"country_code": "US",
"telephone_number": "304-598-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10480 Gunpowder Falls St",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891837929",
"country_code": "US",
"telephone_number": "702-616-6936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-338-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4309 W Medical Center Dr Ste B202",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "60050",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-385-3256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUHAILY",
"first_name": "SAMER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A100357",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "74171",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12457",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.118507",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036118507",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "ND",
"license": "PT21515",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036118507",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.