Organization Active NPI

Shamarie Sais, MD, PC

  • Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1982148375
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD2006-0142 Issued in NM
Legal business name
SHAMARIE SAIS, MD, PC
Practice address
3602 Campus Blvd NE
Albuquerque, NM 87106-1314
Phone
(505) 404-8925
Fax
(505) 404-8918
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Shamarie SaisNPI 1801865878
Title
Manager/Owner
Phone
(505) 298-0301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD2006-0142 NM Primary

Addresses

Primary practice location

3602 Campus Blvd NE
Albuquerque, NM 87106-1314

Mailing address

3602 Campus Blvd NE
Albuquerque, NM 87106-1314
Phone (505) 404-8925

Other identifiers 1

IdentifierTypeStateIssuer
2051796MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170522000022 NM Part B Supplier - Clinic/Group Practice 1456628569 Receives reassigned benefits from 4 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2146903Shamarie Sais MD PC3602 Campus Blvd NE, Albuquerque, NM 87106Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

3602 Campus Blvd NE
Albuquerque, NM 87106
Phone (505) 404-8918

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1982148375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 CAMPUS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061314",
            "telephone_number": "505-404-8925",
            "fax_number": "505-404-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CAMPUS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061314",
            "telephone_number": "505-404-8925",
            "fax_number": "505-404-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMARIE SAIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SAIS",
        "authorized_official_first_name": "SHAMARIE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "505-298-0301"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "MD2006-0142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051796",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.