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SAMI ABUQAYYAS M.D.
NPI 1780024273
Internal Medicine - Pulmonary Disease in Danville, IN

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
112 HOSPITAL LN STE 303, DANVILLE, IN 46122(317) 718-4000(317) 718-4005 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2022, Feb 16, 2021 (2 updates tracked since 2021).

About Sami Abuqayyas M.d. NPPES

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

SAMI ABUQAYYAS M.D. (NPI 1780024273) is an individual pulmonary disease provider in Danville, Indiana, licensed in Indiana (01087264A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780024273
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSAMI ABUQAYYASCredential: M.D.
Location Address112 HOSPITAL LN STE 303Danville, IN 46122-1998
Mailing Address112 Hospital Ln Ste 303Danville, IN 46122-1998 · (131) 771-8400 · Fax (317) 718-4005
Phone(317) 718-4000
Fax(317) 718-4005
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2013
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1780024273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IN · 01087264A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01087264A (IN)
112 HOSPITAL LN STE 303, Danville, IN 46122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sami Abuqayyas 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 ID7517261050
PECOS Enrollment IDI20220315000581
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.

Areas of Expertise CMS Part B claims 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
128 services72 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
84 services83 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
81 services80 patients
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.
72 services53 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.
67 services38 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
43 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Putnam County Hospital

Critical Access Hospitals · Greencastle, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151333
Location1542 S Bloomington StGreencastle, IN 46135 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46122 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
67%99 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 suppliers17 claims17 services$73.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$32.18 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 4

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

DR. LIRIM KRVESHI DO
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
SUMIT RISHI CHAWLA M.D.
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
MR. BEAU PRESCOTT SEMLER NP
Nurse Practitioner (Gerontology)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
EDWIN J JACKSON JR. DO
Internal Medicine (Critical Care Medicine)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000

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 Sami Abuqayyas's NPI number?

The NPI number for Sami Abuqayyas is 1780024273. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Sami Abuqayyas located?

Sami Abuqayyas practices at 112 Hospital Ln Ste 303, Danville, IN 46122. The listed phone number is (317) 718-4000.

What is Sami Abuqayyas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sami Abuqayyas enrolled in Medicare?

Yes. Sami Abuqayyas 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 Sami Abuqayyas accept?

Health plans from CareSource list Sami Abuqayyas 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 Sami Abuqayyas affiliated with any hospitals?

According to CMS data, Sami Abuqayyas is affiliated with Hendricks Regional Health and Putnam County Hospital.

When was this NPI record last updated?

The NPPES record for Sami Abuqayyas was last updated on March 10, 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.