Individual provider Active NPI

Sam Somsook, MD

  • Hospitalist Physician
  • Winston Salem, NC
National Provider Identifier
1942324926
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2008-01271 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-3100
Phone
(336) 716-2255
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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 2008-01271 NC
Internal Medicine Physician 207R00000X 18797301 NY
Hospitalist Physician 208M00000X 2008-01271 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-3100

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Other identifiers 1

IdentifierTypeStateIssuer
2008 -01271OtherNCNC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080404000307 NY Practitioner - Internal Medicine 4284711946 Reassigns benefits to 4 organizations
I20081110000694 NC Practitioner - Internal Medicine 4284711946 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18797301NYMDInternal Medicine Physician
2008-01271NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 25, 2020 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Apr 17, 2015 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince May 28, 2016 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Jul 9, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 25, 2020 Accepting new patients
Cornerstone Health Care LLC Internal Medicine CurrentSince Apr 17, 2015 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Jul 9, 2019 Accepting new patients
Employee Assistance Resource Services CurrentSince Mar 21, 2019 Accepting new patients
Wilkes Physician Network, Inc. Current Accepting new patients
Hamlet PPM LLC Internal Medicine Past Accepting new patients
Hamlet Hma PPM LLC Internal Medicine Past Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

200 W Park Cir
Ste C
North Wilkesboro, NC 28659
Phone (336) 568-7700

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

278 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 361-6960

278 E Middle Country Rd
Ste B
Smithtown, NY 11787
Phone (631) 361-6960

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: ssomsook101923@albanymed.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/12291/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1942324926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271573100",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMSOOK",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01271",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "18797301",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "2008 -01271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.