Active NPI
Sami Paul Tarabishy, MD
- Plastic and Reconstructive Surgery Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 92164
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 25 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| The Facial Surgery Center | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Plastic and Reconstructive Surgery Physician
- Charleston, SC
- NPI 1871669390
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1104843713
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.