1. Home
  2. Directory
  3. Maryland
  4. Salisbury
  5. Internal Medicine
  6. NPI Profile

SAM TELLAWI MD PA
NPI 1104963990
Internal Medicine - Gastroenterology in Salisbury, MD

Active since January 31, 2007
560 RIVERSIDE DR STE A206, SALISBURY, MD 21801(410) 912-5640 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam Tellawi Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM TELLAWI MD PA (NPI 1104963990) is a healthcare organization registered as a gastroenterology in Salisbury, Maryland and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Clinton and lists Maria Cornman, Manager, as its authorized official.

NPPES Registry Identity

NPI1104963990
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSAM TELLAWI MD PA
Location Address560 RIVERSIDE DR STE A206Salisbury, MD 21801-4704
Mailing Address7700 Old Branch Ave, Suite B-102Clinton, MD 20735-1628 · (301) 856-1960 · Fax (301) 856-3206
Phone(410) 912-5640
Organization SubpartNo
Authorized OfficialMaria CornmanManager · (800) 749-5191
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMay 7, 2019
✔ NPI 1104963990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
560 RIVERSIDE DR STE A206, Salisbury, MD 21801
Open in Google Maps ↗

Secondary Practice Location 1

Location 17700 Old Branch Ave, SUITE B-102Clinton, MD 20735-1628 · Phone (301) 856-1960 · Fax (301) 856-3206

Other Identifiers 8

OtherDN4447GA · Railroad Medicare
Other062048700DC · Medical Assistance
OtherG02093DC · Medicare
Other1104963990VA · Medicaid
Other248NMD · Medicare
Other8556MD · Carefirst
Other632104600MD · Medical Assistance
OtherA618DC · Carefirst

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GAYLE PATRICIA JONES FNP
Nurse Practitioner
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801
Wicomico County (410) 912-5640
DR. MELIK TIBA MD
Internal Medicine (Gastroenterology)
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801
Wicomico County (410) 912-5640
MS. JUDIANNE KEIGHTLY CRNP
Nurse Practitioner
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801
Wicomico County (410) 912-5640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Tellawi MD PA's NPI number?

The NPI number for Sam Tellawi MD PA is 1104963990. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Sam Tellawi MD PA located?

Sam Tellawi MD PA is located at 560 Riverside Dr Ste A206, Salisbury, MD 21801. The listed phone number is (410) 912-5640.

What is Sam Tellawi MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Sam Tellawi MD PA was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.