1. Home
  2. Directory
  3. South Carolina
  4. West Columbia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAMUEL HALEEM
NPI 1275393902
Student in an Organized Health Care Education/Training Program in West Columbia, SC

Active since March 20, 2024PECOS Enrolled
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 791-2000 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 6, 2026, Aug 23, 2024 (2 updates tracked since 2024).

About Samuel Haleem NPPES

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

SAMUEL HALEEM (NPI 1275393902) is an individual student in an organized health care education/training program in West Columbia, South Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275393902
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL HALEEM
Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810
Mailing Address6012 80th AveGlendale, NY 11385-6029
Phone(803) 791-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2024
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1275393902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 91484 (SC)
2720 SUNSET BLVD, West Columbia, SC 29169
Open in Google Maps ↗

Secondary Practice Location 1

Location 1154 Saluda Pointe DrLexington, SC 29072-7295 · Phone (803) 785-3590 · Fax (803) 785-3595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Haleem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769915784
PECOS Enrollment IDI20260416003957
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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Haleem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc
Same address
Dietitian, Registered
2720 SUNSET BLVD
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1003416066 (803) 791-2248

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANDREI YERIK HETMAN M.D.
Internal Medicine (Critical Care Medicine)
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7372
LEXINGTON HEALTH INC
Dietitian, Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2248
MR. KELLY BRYCE JANSEN OTR/L
Occupational Therapist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
CAROLYN ABRAMS CRNA
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
HANNAH ELIZABETH PETTIGREW
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 935-8538
VERONICA RESENDEZ CRNA
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 935-8538
CARA NICOLE ADAMS DNP, CRNA
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 935-8538
SARA WALDEN PELL MSP
Speech-Language Pathologist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2155

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 Samuel Haleem's NPI number?

The NPI number for Samuel Haleem is 1275393902. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Samuel Haleem located?

Samuel Haleem practices at 2720 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 791-2000.

What is Samuel Haleem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Haleem enrolled in Medicare?

Yes. Samuel Haleem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Haleem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Haleem reassigns Medicare benefits to Lexington Health Inc (West Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Haleem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Haleem was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.