NPIMap

Individual provider Active NPI

Shilpa Sambidi, M.D.

  • Hematology & Oncology Physician
  • Johnson City, NY
National Provider Identifier
1821240011
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
275867 Issued in NY
Practice address
30 Harrison St
Suite 100
Johnson City, NY 13790-2161
Phone
(607) 763-6850
NPI assigned
Oct 21, 2008
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 275867 NY Primary
Hematology & Oncology Physician 207RH0003X 2025-02035 NC

Addresses

Primary practice location

30 Harrison St
Suite 100
Johnson City, NY 13790-2161

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

6387 Ramsey St Unit 140
Fayetteville, NC 28311-9442
Phone (910) 615-3840

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-7392

Other practice location 3

225 Brightwater Dr Ste 100
Lillington, NC 27546-5156
Phone (910) 984-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140918001348 NY Practitioner - Hematology/Oncology 3577782853 Reassigns benefits to 2 organizations
I20260211000862 NC Practitioner - Hematology/Oncology 3577782853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Oncology LLCGroup PAC ID 1658284849, 6 clinicians

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5307

30 Harrison St
Suite 100
Johnson City, NY 13790-3100
Phone (607) 763-6850

6387 Ramsey St
Suite 140
Fayetteville, NC 28311-9442
Phone (910) 615-3840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.44 of 100Reported as group
Quality
60.29
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-02035NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jan 14, 2026 Accepting new patients
Broome Oncology LLC Hematology & Oncology CurrentSince Aug 1, 2014 Accepting new patients
Harnett Health System, Inc. Hematology & Oncology CurrentSince Dec 28, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Cumberland County Hospital System Inc Hematology & Oncology CurrentSince Jan 14, 2026 Accepting new patients
Harnett Health System Inc CurrentSince Dec 28, 2025 Accepting new patients
Harnett Health System, Inc Past Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

6387 Ramsey St
Unit 140
Fayetteville, NC 28311
Phone (910) 615-3829

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

30 Harrison St
Ste 100
Johnson City, NY 13790
Phone (607) 763-6850

Interoperability endpoints

  • Direct secure messaging: ssambidi137520@capefearvalley.direct-ci.com

Organizations & group practices 9

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1821240011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST",
            "address_2": "SUITE 100",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902161",
            "telephone_number": "607-763-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6387 Ramsey St Unit 140",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-984-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMBIDI",
        "first_name": "SHILPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "275867",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2025-02035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.