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

Q: 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.

Q: 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.

Q: 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 4 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, 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: August 16, 2026.

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

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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 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

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Medicare Participation & PECOS CMS

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

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.

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)