NPIMap

Individual provider Active NPI

Samah M Shehadeh, M.D.

  • Internal Medicine Physician
  • Dorado, PR
National Provider Identifier
1982815643
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15488 Issued in PR
Practice address
Ave Los Astros 1766
Golden Hill
Dorado, PR 00646
Phone
(787) 529-3102
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15488 PR Primary

Addresses

Primary practice location

Ave Los Astros 1766
Golden Hill
Dorado, PR 00646

Mailing address

Hima Plaza 1 , Ave Luis Munoz Marin
Suite #312
Caguas, PR 00726
Phone (787) 529-3102

Other names 1

  • Dr. Samah M Ali-Shehadeh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000104 PR Practitioner - Internal Medicine 9436239845 Reassigns benefits to 6 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Med PSCGroup PAC ID 5294138566, 11 clinicians

Practice addresses (Care Compare)

Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

  • Doctors' Center Bayamon Hospital, Bayamon, PR, CCN 400102
  • Hope Medical Center Hospital, Humacao, PR, CCN 400005
  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health PSC CurrentSince Sep 1, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 24, 2012 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Special Care Infusion Center, Inc CurrentSince Nov 1, 2013 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince Feb 1, 2016 Accepting new patients
Hospital Menonita de Cayey CurrentSince Feb 1, 2016 Accepting new patients
Hope Med PSC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 24, 2012 Accepting new patients
Doctors Center Hospital Bayamon Inc Past Accepting new patients
San Francisco Health System Inc Past Accepting new patients
Hope Medical Center LLC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

100 Carr 165
#1
Guaynabo, PR 00968
Phone (787) 277-0847

3 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 656-2427

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cnx10_hopemedicalcenter

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1982815643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1 , AVE LUIS MUNOZ MARIN",
            "address_2": "SUITE #312",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-529-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOS ASTROS 1766",
            "address_2": "GOLDEN HILL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-529-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "SAMAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMAH",
            "last_name": "ALI-SHEHADEH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.