Individual provider Active NPI

Mark Sepehr Samii, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1962798843
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT200512 Issued in PA
Practice address
2750 Aster St
Lake Charles, LA 70601-8824
Phone
(337) 480-8900
Fax
(337) 480-8901
NPI assigned
Jun 20, 2011
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT200512 PA Primary

Addresses

Primary practice location

2750 Aster St
Lake Charles, LA 70601-8824

Mailing address

PO Box 122539
Dept 2539
Dallas, TX 75312-2539
Phone (337) 480-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA2 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
I20141209001506 LA Practitioner - Family Practice 3779716196 Reassigns benefits to 4 organizations
I20190110002682 PA Practitioner - Family Practice 3779716196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200512PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince May 1, 2019 Accepting new patients
Lake Charles Urgent Care CurrentSince Nov 9, 2015 Accepting new patients
Lafayette Health Ventures Inc Family Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 22, 2018 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince May 1, 2019 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince May 1, 2019 Accepting new patients
University Hospital & Clinics Inc CurrentSince May 1, 2019 Accepting new patients
Lcuc Family Physicians Urgent Care LLC CurrentSince Nov 14, 2016 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Lake Charles Primary Care and Wellness Family Medicine Past Accepting new patients

Locations

1016 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 233-6665

115 Audubon Blvd
Lafayette, LA 70503
Phone (337) 289-8933

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

409 W Pont des Mouton Rd
Ste B
Lafayette, LA 70507
Phone (337) 806-1525

409 W Pont des Mouton Rd
Ste C
Lafayette, LA 70507
Phone (337) 886-6455

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110

301 S Cities Service Hwy
Sulphur, LA 70663
Phone (337) 527-6416

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: msamii1443504@direct.ochsner.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1962798843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122539",
            "address_2": "DEPT 2539",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122539",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ASTER ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018824",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMII",
        "first_name": "MARK",
        "middle_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT200512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.