SAMER AL DAHEEN
NPI 1871171322
Military Health Care Provider in Jackson, MI
NPI Status: Active since March 29, 2021
- Individual
- Male
- Military Health Care Provider
- PECOS Enrolled
About SAMER AL DAHEEN
This page provides the complete NPI Profile along with additional information for Samer Al Daheen, a provider established in Jackson, Michigan with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1871171322 assigned on March 2021. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1871171322
- Provider Name
- SAMER AL DAHEEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 N EAST AVE JACKSON, MI 49201
- Location Phone
- (517) 205-4800
- Mailing Address
- 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER, HI 96859
- Mailing Phone
- (808) 433-9770
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2021
- Last Update Date
- 02-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Samer Al Daheen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for SAMER AL DAHEEN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 7 | 1 | 1 | 7 | 1 | 3 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 2 | 7 | 2 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 2 + 7 + 2 + 3 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1871171322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134121684 | DEEPA S MACHA MD Individual | Emergency Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1336116664 | WALTER A. WITHERSPOON CRNA Individual | Nurse Anesthetist, Certified Registered | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4800 |
| 1699732677 | JOHN STEVEN MOGERMAN MD Individual | Psychiatry & Neurology (Psychiatry) | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1548226624 | DAVID ERIK REMMLER MD Individual | Emergency Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1053377044 | JAMES BROWN CHAUNCEY III MD Individual | Internal Medicine (Pulmonary Disease) | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4800 |
| 1962468090 | TERRANCE WAYNE MACGREGOR MD Individual | Emergency Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1285690230 | DAVID FARHAT MD Individual | Emergency Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1619933660 | GREGORY WILLIAM BAUMANN MD Individual | Emergency Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1720044738 | RAVI SINGH KIRBAT MD Individual | Psychiatry & Neurology (Psychiatry) | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1437116001 | RICHARD J ENTER PHD Individual | Psychologist | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1437116118 | SAMY YOUSEF WASSEF MD Individual | Psychiatry & Neurology (Psychiatry) | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1306803085 | LEE ANNE GREEN SNYDER PHD Individual | Psychologist | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1528025905 | GEOFFERY LYLE STEVENS CSW Individual | Social Worker | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4730 |
| 1801854344 | JOSE TAD-Y EDURESE MD Individual | Internal Medicine | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4800 |
| 1437117991 | KRISTIN ANN DRAFFEN CSW Individual | Social Worker | 205 N EAST AVE JACKSON, MI 49201 (517) 789-5971 |
| 1841258308 | NADINE LYN ZINN NP Individual | Nurse Practitioner | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4786 |
| 1881642320 | DAVID R WALKER PA Individual | Physician Assistant | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
| 1255380796 | KENNETH MICHAEL GORNEY MSW Individual | Physician Assistant | 205 N EAST AVE JACKSON, MI 49201 (517) 789-5971 |
| 1881644300 | LONNA KAY OTIS-PEPPER NP Individual | Nurse Practitioner | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4958 |
| 1295786630 | HOLLY JO PAUL NP Individual | Nurse Practitioner | 205 N EAST AVE JACKSON, MI 49201 (517) 788-4996 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871171322, enumerated in the NPI registry as an "individual" on March 29, 2021
The provider is located at 205 N East Ave Jackson, Mi 49201 and the phone number is (517) 205-4800
The provider's speciality is Military Health Care Provider with taxonomy code 171000000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 29, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.