DR. SAMER M NUHAILY MD
NPI 1780879213
Internal Medicine - Rheumatology in Saint Paul, MN

Active since September 07, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-7800 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Jun 11, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Samer M Nuhaily Md NPPES

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

DR. SAMER M NUHAILY MD (NPI 1780879213) is an individual rheumatology provider in Saint Paul, Minnesota, licensed in Minnesota (74171) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1780879213
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SAMER M NUHAILYCredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address602 West University Avenue, Ncw4 - Provider Enrollment SpecialistUrbana, IL 61801-2530 · (217) 383-6792 · Fax (217) 326-2856
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 7, 2007
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1780879213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in MN · 74171 Licensed in IL · 036118507 Licensed in ND · PT21515
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A100357 (CA), 12457 (NV), 036.118507 (IL)
401 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Locations 6

Location 11000 Mon Health Medical Park Dr Ste 1104Morgantown, WV 26505-1143 · Phone (043) 598-7296
Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200
Location 310480 Gunpowder Falls StLas Vegas, NV 89183-7929 · Phone (702) 616-6936
Location 4360 Station Dr Fl 3Crystal Lake, IL 60014-7978 · Phone (815) 338-6600
Location 52305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000
Location 64309 W Medical Center Dr Ste B202McHenry, IL 60050 · Phone (815) 338-6600 · Fax (815) 385-3256

Other Identifiers 1

Other036118507IL · State License

Accepted 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

Dr. Samer M Nuhaily 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 ID2961584024
PECOS Enrollment IDI20250821000309
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 6

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 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.
67 services57 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.
44 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
33 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Mon Health Marion

Acute Care Hospitals · Whitehall, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number510093
Location140 Middletown LoopWhitehall, WV 26554 · Marion County
Emergency services

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130

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 Samer Nuhaily's NPI number?

The NPI number for Samer Nuhaily is 1780879213. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Samer Nuhaily located?

Samer Nuhaily practices at 401 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-7800.

What is Samer Nuhaily's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Samer Nuhaily enrolled in Medicare?

Yes. Samer Nuhaily 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 Samer Nuhaily accept?

Health plans from Medica list Samer Nuhaily 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 Samer Nuhaily affiliated with any hospitals?

According to CMS data, Samer Nuhaily is affiliated with Uniontown Hospital, Mon Health Medical Center, Mon Health Marion and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samer Nuhaily was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.