Individual provider Active NPI

Samuel Umesegha, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1891826202
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101242169 Issued in VA
Practice address
611 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8402
Phone
(540) 656-2950
Fax
(540) 656-2957
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241718 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 241718 NY
Internal Medicine Physician 207R00000X 0101242169 VA Primary

Addresses

Primary practice location

611 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8402

Mailing address

611 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8402
Phone (540) 656-2950

Other identifiers 1

IdentifierTypeStateIssuer
02861067MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110527000584 VA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6204928666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wecare Medical Associates LLCGroup PAC ID 3375788904, 2 clinicians

Practice addresses (Care Compare)

611 Emancipation Hwy
Suite 101
Fredericksburg, VA 22401-8402
Phone (540) 656-2950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241718NYMDInternal Medicine Physician
0101242169VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Apr 30, 2017 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2015 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Wecare Medical Associates LLC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
North General Physician Services PLLC Internal Medicine PastSince Jul 1, 2006 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

611 Emancipation Hwy
Ste 101
Fredericksburg, VA 22401
Phone (540) 656-2950

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: samuel.umesegha.1@27141.direct.athenahealth.com
  • Direct secure messaging: samuel.umesegha@hca6.eclinicaldirectplus.com

Organizations & group practices 8

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 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1891826202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-656-2950",
            "fax_number": "540-656-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-656-2950",
            "fax_number": "540-656-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMESEGHA",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241718",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "241718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02861067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.