Individual provider Active NPI

Andrew David Samel, M.D.

  • Dermatology Physician
  • Attleboro, MA
National Provider Identifier
1821066291
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
76041 Issued in MA
Practice address
152 Emory St
Attleboro, MA 02703-2434
Phone
(508) 226-0400
Fax
(508) 226-3301
NPI assigned
Mar 10, 2006
Last updated
Dec 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 76041 MA Primary

Addresses

Primary practice location

152 Emory St
Attleboro, MA 02703-2434

Mailing address

152 Emory St
Attleboro, MA 02703-2434
Phone (508) 226-0400

Other identifiers 2

IdentifierTypeStateIssuer
076041OtherMATUFTS
3095207MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050420001074 MA Practitioner - Dermatology 7618915646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attleboro Dermatology PCGroup PAC ID 1658315411, 3 clinicians

Practice addresses (Care Compare)

152 Emory St
Unit 2
Attleboro, MA 02703-2476
Phone (508) 226-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions624
Skin biopsy177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76041MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Attleboro Dermatology, P.C. Dermatology CurrentSince May 27, 1992 Accepting new patients
Sturdy Health Inc PastSince Apr 17, 1995 Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

152 Emory St
Unit 2
Attleboro, MA 02703
Phone (508) 226-0400

159 Pleasant St
Attleboro, MA 02703
Phone (508) 226-0213

159 Pleasant St
Ste 2
Attleboro, MA 02703
Phone (508) 226-0213

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIFBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1821066291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EMORY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032434",
            "telephone_number": "508-226-0400",
            "fax_number": "508-226-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 EMORY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032434",
            "telephone_number": "508-226-0400",
            "fax_number": "508-226-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEL",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "76041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "076041",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095207",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.