Individual provider Active NPI

Shamarie Sais, MD

  • Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1801865878
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD2006-0142 Issued in NM
Practice address
3602 Campus Blvd NE
Albuquerque, NM 87106-1314
Phone
(505) 404-8925
Fax
(505) 404-8918
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD2006-0142 NM
Gynecology Physician 207VG0400X 43908 WI
Gynecology Physician 207VG0400X MD2006-0142 NM Primary

Addresses

Primary practice location

3602 Campus Blvd NE
Albuquerque, NM 87106-1314

Mailing address

3602 Campus Blvd NE
Albuquerque, NM 87106-1314
Phone (505) 404-8925

Other identifiers 1

IdentifierTypeStateIssuer
95534075MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000615 NM Practitioner - Obstetrics/Gynecology 0244299824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3602 Campus Blvd NE
Albuquerque, NM 87106-1314
Phone (505) 404-8925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2006-0142NMMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shamarie Sais, MD, PC Gynecology CurrentSince May 1, 2017 Accepting new patients
Kaiser Anesthesia LLC Past Accepting new patients

Locations

3602 Campus Blvd NE
Albuquerque, NM 87106
Phone (505) 404-8918

Interoperability endpoints

  • Direct secure messaging: shamariesaismd_pc.ssais@136072.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1801865878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 CAMPUS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061314",
            "telephone_number": "505-404-8925",
            "fax_number": "505-404-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CAMPUS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061314",
            "telephone_number": "505-404-8925",
            "fax_number": "505-404-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIS",
        "first_name": "SHAMARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NM",
            "license": "MD2006-0142",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WI",
            "license": "43908",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "MD2006-0142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95534075",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.