HASAN SAMRA M.D.
NPI 1356703094
Pathology - Anatomic Pathology & Clinical Pathology in Augusta, GA

Q: What is Hasan Samra's NPI number?

The NPI number for Hasan Samra is 1356703094. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Hasan Samra's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Hasan Samra was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 22, 2016PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2021, Mar 22, 2016 (2 updates tracked since 2016).

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About Hasan Samra M.d. NPPES

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

HASAN SAMRA M.D. (NPI 1356703094) is an individual anatomic pathology & clinical pathology provider in Augusta, Georgia, licensed in Georgia (88522) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356703094

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameHASAN SAMRACredential: M.D.

Location Address1120 15TH STAugusta, GA 30912-3548

Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-8623

Phone(706) 721-8623

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 22, 2016

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1356703094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in GA · 88522

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1120 15TH ST, Augusta, GA 30912

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Other Identifiers 1

Other88522GA · Ga Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hasan Samra M.d. 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 ID9638593759

PECOS Enrollment IDI20210420001163

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.

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.04

Promoting Interoperability

Improvement Activities

Cost

60.7

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.

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 Hasan Samra's NPI number?

The NPI number for Hasan Samra is 1356703094. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Hasan Samra located?

Hasan Samra practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Hasan Samra's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Hasan Samra enrolled in Medicare?

Yes. Hasan Samra 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.

What insurance does Hasan Samra accept?

Health plans from Alliant Health Plans, Inc. list Hasan Samra 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 Hasan Samra affiliated with any hospitals?

According to CMS data, Hasan Samra is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Hasan Samra was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.