Active NPI
Sami Tannouri, MD
- Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD452821
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2945 - Phone
- (443) 444-4100
- NPI assigned
- Apr 19, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD452821 | PA | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Mailing address
2026 Greenberry Rd
Baltimore, MD 21209-4541
Phone (443) 804-2783
Other practice location 1
1015 Chestnut St Ste 620
Philadelphia, PA 19107-4306
Phone (215) 955-6864
Other practice location 2
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-7276
Other practice location 3
110 Irving St NW Ste 2A38M
Washington, DC 20010-3017
Phone (202) 877-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Pennsylvania State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Walnut St
Mob 5TH Floor
Philadelphia, PA 19107-5563
Phone (215) 955-6750
Hospital & facility affiliations
- Thomas Jefferson University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 13 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD452821 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Union Hospital of Cecil County | Surgery | Current | Accepting new patients |
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Union Hospital of Cecil County, Inc | Current | Accepting new patients | |
| Methodist Hospital | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
110 Irving St NW
Ste 2A38M
Washington, DC 20010
Phone (202) 877-0393
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
3 Crescent Dr
#4
Philadelphia, PA 19112
1101 Chestnut St
#8
Philadelphia, PA 19107
Phone (215) 955-5869
1300 Wolf St
Philadelphia, PA 19148
Phone (215) 952-1428
1300 Wolf St
Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360
1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 7
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1417477993
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1134297393
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1942567656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 GREENBERRY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094541",
"telephone_number": "443-804-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392945",
"telephone_number": "443-444-4100"
}
],
"practiceLocations": [
{
"address_1": "1015 Chestnut St Ste 620",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074306",
"country_code": "US",
"telephone_number": "215-955-6864",
"fax_number": "215-955-2878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-7276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Irving St NW Ste 2A38M",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-4677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANNOURI",
"first_name": "SAMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD452821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.