Active NPI
Samuel Umesegha, MD
- Internal Medicine Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101242169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02861067 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 241718 | NY | MD | Internal Medicine Physician |
| 0101242169 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Wecare Medical Associates LLC | Internal Medicine | Current | Accepting new patients |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients | |
| North General Physician Services PLLC | Internal Medicine | Past | 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
- samuel.umesegha.1@27141.direct.athenahealth.com
- 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.
-
- Multi-Specialty Clinic/Center
- Fredericksburg, VA
- NPI 1144568361
Internal Medicine
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
Internal Medicine
-
- Hospitalist Physician
- Wakefield, RI
- NPI 1922036946
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.