Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samer Hani Emile Rizkalla Barsom, MBBCH

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831849777

Samer Hani Emile Rizkalla Barsom, MBBCH is an Internal Medicine in St Louis Park, Minnesota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

St Louis Park, MN

Additional practice locations (1)

  • 1400 W 22nd St, Sioux Falls, SD 57105-1554 — (605) 357-1410

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 78778 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831849777
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCH
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in St Louis Park