DR. ELIE S SEMAAN MD
NPI 1336208792
Surgery - Vascular Surgery in Springfield, MA

Q: What is Elie Semaan's NPI number?

The NPI number for Elie Semaan is 1336208792. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is Elie Semaan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Elie Semaan was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment

300 STAFFORD ST STE 210, SPRINGFIELD, MA 01104(413) 748-9378(413) 748-9387 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2022, May 11, 2020, Feb 17, 2019 (3 updates tracked since 2019).

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About Dr. Elie S Semaan Md NPPES

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

DR. ELIE S SEMAAN MD (NPI 1336208792) is an individual vascular surgery provider in Springfield, Massachusetts, licensed in Massachusetts (230519) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336208792

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. ELIE S SEMAANCredential: MD

Location Address300 STAFFORD ST STE 210Springfield, MA 01104-3513

Mailing Address300 Stafford St Ste 210Springfield, MA 01104-3513 · (413) 748-9378 · Fax (413) 748-9387

Phone(413) 748-9378

Fax(413) 748-9387

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 8, 2006

Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1336208792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in MA · 230519✔ Licensed in AZ · 47597✔ Licensed in NH · 16327

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 230519 (MA), 47597 (AZ)

300 STAFFORD ST STE 210, Springfield, MA 01104

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Other Identifiers 2

Medicaid3104130NH

Medicaid110120894AMA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elie S Semaan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416002183

PECOS Enrollment IDI20170328000918

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 Reassignments

Medicare enrollment records show Elie Semaan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverbend Medical Group, Inc.

0.1 mi

Internal Medicine

271 CAREW ST
Springfield, MA 01104

Reassigned Medicare billing, Massachusetts enrollment
298 clinicians in this Medicare group

NPI 1841651197 (413) 781-7217

Trinity Health Of New England Provider Network Organization Inc

24 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

Appledore Medical Group, Inc.

109 mi

Family Medicine

29 LAFAYETTE RD
North Hampton, NH 03862

Reassigned Medicare billing, New Hampshire enrollment
185 clinicians in this Medicare group

NPI 1174512693 (603) 964-9370

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

150 services129 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

97 services83 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

90 services88 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

62 services57 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

55 services53 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

42 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services34 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

32 services31 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

22 services20 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

19 services18 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

19 services18 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220024

Location575 Beech StreetHolyoke, MA 01040 · Hampden County

Emergency services

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

AUTUMN M FIEDLER DNP FNP-C CWOCN

Nurse Practitioner

300 STAFFORD ST STE 210
SPRINGFIELD, MA 01104

Hampden County (413) 748-9378

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 Elie Semaan's NPI number?

The NPI number for Elie Semaan is 1336208792. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Elie Semaan located?

Elie Semaan practices at 300 Stafford St Ste 210, Springfield, MA 01104. The listed phone number is (413) 748-9378.

What is Elie Semaan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Elie Semaan enrolled in Medicare?

Yes. Elie Semaan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elie Semaan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elie Semaan reassigns Medicare benefits to 3 organizations: Riverbend Medical Group, Inc. (Springfield, MA), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and Appledore Medical Group, Inc. (North Hampton, NH). Each 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 Elie Semaan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elie Semaan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Elie Semaan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elie Semaan affiliated with any hospitals?

According to CMS data, Elie Semaan is affiliated with Holyoke Medical Center, Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Elie Semaan was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.