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SEMBUA SAMUEL DANIELI MD
NPI 1497789150
Internal Medicine in Charleston, WV

Active since July 10, 2006PECOS Enrolled
501 MORRIS ST, CHARLESTON, WV 25301(304) 388-5432 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Apr 13, 2026, Feb 7, 2024 and 3 more (6 updates tracked since 2016).

About Sembua Samuel Danieli Md NPPES

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

SEMBUA SAMUEL DANIELI MD (NPI 1497789150) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (33148) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1497789150
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEMBUA SAMUEL DANIELICredential: MD
Location Address501 MORRIS STCharleston, WV 25301-1326
Mailing Address400 Association Dr Ste 102Charleston, WV 25311-1298
Phone(304) 388-5432
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 7, 20266 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1497789150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WV · 33148✔ Licensed in NC · 2009-01523✔ Licensed in VA · 0101236251
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2009-01523 (NC)
501 MORRIS ST, Charleston, WV 25301
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12700 Wayne Memorial DrGoldsboro, NC 27534-9494 · Phone (919) 736-1110 · Fax (919) 734-7570
Location 21400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700
Location 3850 S Main StHolly Springs, NC 27540-8906 · Phone (919) 784-7093 · Fax (919) 784-7395
Location 41320 Maplewood AveRonceverte, WV 24970-8016 · Phone (304) 647-4411
Location 5800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432
Location 63200 MacCorkle Ave SECharleston, WV 25304-1297 · Phone (304) 388-5432

Other Identifiers 3

Medicaid1497789150WV
OtherP00131792Railroad Medicare
Medicaid010087911VA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1951388040
PECOS Enrollment IDI20090928000714, I20240219001067
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

9

Medicare enrollment records show Sembua Danieli reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Area Medical Center, Inc.
Same address
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1124248752 (304) 388-3939
Camc Greenbrier Valley Medical Center Inc
75 mi
Cardiovascular Disease
1320 MAPLEWOOD AVE
Ronceverte, WV 24970
  • Reassigned Medicare billing, West Virginia enrollment
  • 142 clinicians in this Medicare group
NPI 1588373872 (304) 647-6006
Unc Physicians Network, LLC
197 mi
Urology
1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1053751586 (336) 584-6300
North Carolina Mg, LLC
238 mi
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Clark Alliance Services Inc
248 mi
Internal Medicine
2501 PARKERS LN FL 4
Alexandria, VA 22306
  • Reassigned Medicare billing, West Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1952892028 (703) 664-7000
Cogent Healthcare Of North Carolina, PC
265 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
Usacs Integrated Acute Care Services Of North Carolina, PLLC
327 mi
Internal Medicine
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1437869302 (252) 335-0531
Hospital Physician Services - Southeast Professional Corporation
335 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Carteret County General Hospital Corporation
368 mi
Urgent Care
3722 BRIDGES ST, SUITE A
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • 283 clinicians in this Medicare group
NPI 1184951840 (252) 808-6136

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 4

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.

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.
505 services206 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
301 services181 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
227 services222 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.
74 services74 patients

Hospital Affiliations CMS Care Compare 5

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,644 services$0.32 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers20 claims20 services$50.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers11 claims11 services$13.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers12 claims12 services$65.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SANDRA R MILES CRNA, RN, BSN
Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
RAMON S LANSANG JR. MD
Rehabilitation Practitioner
501 MORRIS ST, CAMC GENERAL HOSPITAL
CHARLESTON, WV 25301
Kanawha County (304) 388-6301
DR. HUNTER NIELSEN DO
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
EDWARD ANDREW WOODS MD
Physical Medicine & Rehabilitation
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-6301
KELLY D WAYMAN CRNA
Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 647-6006
BRETT PAUL ZAVADIL PA-C
Physician Assistant (Medical)
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
MRS. MARY CATHERINE MARSH FNP-BC
Nurse Practitioner (Family)
501 MORRIS ST, CHARLESTON AREA MEDICAL CENTER, INC.
CHARLESTON, WV 25301
Kanawha County (304) 388-6140
ROGER TAYLOR DO
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 647-6006

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 Sembua Danieli's NPI number?

The NPI number for Sembua Danieli is 1497789150. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Sembua Danieli located?

Sembua Danieli practices at 501 Morris St, Charleston, WV 25301. The listed phone number is (304) 388-5432.

What is Sembua Danieli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sembua Danieli enrolled in Medicare?

Yes. Sembua Danieli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sembua Danieli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sembua Danieli reassigns Medicare benefits to 9 organizations: Charleston Area Medical Center, Inc. (Charleston, WV), Camc Greenbrier Valley Medical Center Inc (Ronceverte, WV), Unc Physicians Network, LLC (Burlington, NC), North Carolina Mg, LLC (Raleigh, NC), Clark Alliance Services Inc (Alexandria, VA) and 4 more organizations, listed in the Medicare section above. 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 Sembua Danieli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sembua Danieli accept?

Health plans from Blue Cross and Blue Shield of NC and CareSource list Sembua Danieli 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 Sembua Danieli affiliated with any hospitals?

According to CMS data, Sembua Danieli is affiliated with Unc Health Wayne, Unc Lenoir Health Care, Rex Hospital, Carteret General Hospital and Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sembua Danieli was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.