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DR. SAMER JABBOUR MD NPI 1043215692


NPI Information

NPI: 1043215692
Provider Name: DR. SAMER JABBOUR, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
500 WIND RIDGE DR.
WAUSAU, WI
ZIP 54401
Phone: (715) 847-2611
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DR. Samer Jabbour, MD is a cardiovascular disease internal medicine in Wausau, WI with 35 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Samer Jabbour, MD NPI is 1043215692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 WIND RIDGE DR.
WAUSAU, WI
ZIP 54401-173
Phone: (715) 847-2611
Fax: (715) 847-2612

The NPI 1043215692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 6/20/2005 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease80983MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA19892OTHERMASSACHUSETTSHARVARD PILGRIM HEALTHCAR
23165078MEDICAIDMASSACHUSETTS
3969675OTHERNETWORK HEALTH
425-03479OTHEREVERCARE
5F83102OTHERNEW HAMPSHIREANTHEM BLUE CROSS
6771560OTHERMASSACHUSETTSTUFTS HEALTH PLAN
7J17569OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
8F83102MEDICARE UPINMASSACHUSETTS
930205047OTHERNEW HAMPSHIRENH MEDICAID
106831013OTHERHEALTHSOURCE
11A29773MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
120034112OTHERNEIGHBORHOOD HEALTH PLAN
132733012OTHERCIGNA
14P00187696OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.