Individual provider Active NPI

Sami Paul Tarabishy, MD

  • Plastic and Reconstructive Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1891223012
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
92164 Issued in SC
Practice address
526 Johnnie Dodds Blvd Ste 202
Mount Pleasant, SC 29464-1703
Phone
(843) 571-4742
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 92164 SC Primary

Addresses

Primary practice location

526 Johnnie Dodds Blvd Ste 202
Mount Pleasant, SC 29464-1703

Mailing address

526 Johnnie Dodds Blvd Ste 202
Mount Pleasant, SC 29464-1703
Phone (843) 571-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241016003401 SC Practitioner - Plastic and Reconstructive Surgery 9638444060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

526 Johnnie Dodds Blvd
Suite 202
Mount Pleasant, SC 29464-1703
Phone (843) 571-4742

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy25
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 1, 2024 Accepting new patients
The Facial Surgery Center Plastic and Reconstructive Surgery CurrentSince Aug 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

526 Johnnie Dodds Blvd
Ste 202
Mt Pleasant, SC 29464
Phone (843) 571-4742

Interoperability endpoints

  • Direct secure messaging: starabishy224727@direct.musc.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1891223012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 JOHNNIE DODDS BLVD STE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641703",
            "telephone_number": "843-571-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 JOHNNIE DODDS BLVD STE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641703",
            "telephone_number": "843-571-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABISHY",
        "first_name": "SAMI",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "92164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.