DR. ROODABEH SAMIMI D.P.M.
NPI 1932366705
Podiatrist - Foot & Ankle Surgery in Winston Salem, NC

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
2825 LYNDHURST AVE, SUITE 105, WINSTON SALEM, NC 27103(336) 277-6550(336) 768-1026 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roodabeh Samimi D.p.m. NPPES

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

DR. ROODABEH SAMIMI D.P.M. (NPI 1932366705) is an individual foot & ankle surgery provider in Winston Salem, North Carolina, licensed in North Carolina (593) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1932366705
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ROODABEH SAMIMICredential: D.P.M.
Location Address2825 LYNDHURST AVE, SUITE 105Winston Salem, NC 27103-4146
Mailing AddressPo Box 602362Charlotte, NC 28260-2362 · (336) 277-6550
Fax(336) 768-1026
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 17, 2021
NPI 1932366705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in NC · 593 Licensed in PA · SC006352 Licensed in CA · E4847
2825 LYNDHURST AVE, Winston Salem, NC 27103

Other Identifiers 1

Medicaid3097625OH

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. Roodabeh Samimi D.p.m. 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 ID6305035379
PECOS Enrollment IDI20161222001114
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.

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.

Colon & Rectal Surgery
2825 LYNDHURST AVE, STE 101
WINSTON SALEM, NC 27103
Podiatrist (Foot & Ankle Surgery)
2825 LYNDHURST AVE, SUITE 105
WINSTON-SALEM, NC 27103
Nurse Practitioner
2825 LYNDHURST AVE, STE 101
WINSTON SALEM, NC 27103
Surgery
2825 LYNDHURST AVE, STE 101
WINSTON SALEM, NC 27103

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 Roodabeh Samimi's NPI number?

The NPI number for Roodabeh Samimi is 1932366705. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Roodabeh Samimi located?

Roodabeh Samimi practices at 2825 Lyndhurst Ave Suite 105, Winston Salem, NC 27103. The listed phone number is (336) 277-6550.

What is Roodabeh Samimi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Roodabeh Samimi enrolled in Medicare?

Yes. Roodabeh Samimi 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.

When was this NPI record last updated?

The NPPES record for Roodabeh Samimi was last updated on December 17, 2021. 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.