SAMMY SADI ABUSRUR MD
NPI 1114487899
Psychiatry & Neurology - Child & Adolescent Psychiatry in Williston, VT

Q: What is Sammy Abusrur's NPI number?

The NPI number for Sammy Abusrur is 1114487899. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Sammy Abusrur's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Sammy Abusrur was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since March 20, 2019PECOS Enrolled

4185 ST GEORGE RD, WILLISTON, VT 05495(802) 879-5333 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Aug 9, 2024, Jun 24, 2024 and 2 more (5 updates tracked since 2019).

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About Sammy Sadi Abusrur Md NPPES

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

SAMMY SADI ABUSRUR MD (NPI 1114487899) is an individual child & adolescent psychiatry provider in Williston, Vermont, licensed in Vermont (042.0017055) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plattsburgh, and is a graduate of University Of South Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1114487899

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameSAMMY SADI ABUSRURCredential: MD

Location Address4185 ST GEORGE RDWilliston, VT 05495-7695

Mailing Address4185 St George RdWilliston, VT 05495-7695 · (802) 651-7731 · Fax (802) 879-5335

Phone(802) 879-5333

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1114487899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in VT · 042.0017055

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 339684 (NY), 042.0017055 (VT)

4185 ST GEORGE RD, Williston, VT 05495

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Secondary Practice Location 1

Location 175 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 562-7790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sammy Sadi Abusrur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103150578

PECOS Enrollment IDI20250922001036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MS. MARILYN JEAN RENAUDETTE M.A.

Psychologist