Sam Shahem, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

199133 Issued in NY

Practice address

10031 4TH Ave
Ste E1
Brooklyn, NY 11209

Phone

(718) 921-5370

Fax

(718) 921-9136

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samer Shahem Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Medical Today P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1710471800
  NPD
• NYU Langone Hospitals

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD
• NYU Langone Hospitals

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790975944
  NPD
• NYU Langone Hospitals

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1831549559
  NPD
• U.S. Mobile Medical Care, PLLC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1447947767
  NPD
• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790716579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE",
            "address_2": "STE E1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-921-5370",
            "fax_number": "718-921-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE",
            "address_2": "STE E1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-921-5370",
            "fax_number": "718-921-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEM",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "199133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01576705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "SHAHEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashanti L Shaheed
• Dena Shaheen, PHARMD
• Komal Shaheen, NP
• Mary Shaheen, LMSW
• Shahem MD, PC.
• Samah Mohamed Mahmoud Shahen
• Leili Shahgholi
• Rajan S. Shahi
• Daniyal Shahid
• Ibrahim Shahid, MD

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.