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

NPI Status: Active since January 31, 2007

Contact Information

560 RIVERSIDE DR STE A206
SALISBURY, MD
ZIP 21801
Phone: (410) 912-5640

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  • Organization
  • Internal Medicine
  • Gastroenterology

About SAM TELLAWI MD PA

This page provides the complete NPI Profile along with additional information for Sam Tellawi Md Pa, an internist established in Salisbury, Maryland operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1104963990 assigned on January 2007. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maria Cornman (Manager)

NPI
1104963990
Provider Name
SAM TELLAWI MD PA
Entity Type
Organization
Location Address
560 RIVERSIDE DR STE A206 SALISBURY, MD 21801
Location Phone
(410) 912-5640
Mailing Address
7700 OLD BRANCH AVE SUITE B-102 CLINTON, MD 20735
Mailing Phone
(301) 856-1960
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2007
Last Update Date
05-07-2019
Code Navigator

An internist like Sam Tellawi Md Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 7700 Old Branch Ave SUITE B-102
    Clinton, MD 20735
    (301) 856-1960

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIA CORNMAN

Authorized Official Title
MANAGER
Authorized Official Phone
(800) 749-5191

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DN4447OTHER (01)GARAILROAD MEDICARE
062048700OTHER (01)DCMEDICAL ASSISTANCE
G02093OTHER (01)DCMEDICARE
1104963990OTHER (01)VAMEDICAID
248NOTHER (01)MDMEDICARE
8556OTHER (01)MDCAREFIRST
632104600OTHER (01)MDMEDICAL ASSISTANCE
A618OTHER (01)DCCAREFIRST

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104963990, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 6 + 6 + 9 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104963990.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801
Nurse Practitioner
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801
Internal Medicine (Gastroenterology)
560 RIVERSIDE DR STE A206
SALISBURY, MD 21801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104963990, enumerated as an "organization" on January 31, 2007.

The provider is located at 560 RIVERSIDE DR STE A206 SALISBURY, MD 21801 and the phone number is (410) 912-5640.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.