Samir Fahmi Shureih, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D21848 Issued in MD

Practice address

5300 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7819

Phone

(410) 243-3035

Fax

(410) 997-0264

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1851472294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 FAR EDGE PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444371",
            "telephone_number": "410-243-3035",
            "fax_number": "410-997-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427819",
            "telephone_number": "410-243-3035",
            "fax_number": "410-997-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUREIH",
        "first_name": "SAMIR",
        "middle_name": "FAHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D21848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shines LLC
• Jan Shipley
• Yevgeny Shirokobrod, DPT
• Sharon Shivers
• Deven V Shroff, D.M.D., F.A.G.D.
• Shirin Siahpoushan
• Andrew Panganoron Siason
• Charles Sicotte
• Zaynub Siddiqui
• Mary Sidhwani, RN/PSYD

• Specialist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.