NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1497789150 MD
Verify on CMS → Sembua Danieli, MD
Internal Medicine Physician in Charleston, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
683
Medicare Part D claims · 268 beneficiaries · Internal Medicine Physician avg: 3K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sembua Danieli, MD filed 683 Medicare Part D claims in 2023 as a Internal Medicine Physician in Charleston, West Virginia.
- 683
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Sembua Danieli, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
683 Top 31% higher than 69% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Sembua Danieli, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 5 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sembua Danieli, MD?
Quality data not reportedPrimary specialty
Internal Medicine Physician
Medicare Part D claims
683 75% vs specialty avg
Specialty distribution in West Virginia
How Internal Medicine Physician compares to other specialties among West Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Sembua Danieli, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 501 MORRIS ST, Charleston, WV, 25301, with a listed phone of (304) 388-5432. NPI 1497789150 was issued on 07/10/2006.
Medicare Part D records for calendar year 2023 show 683 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $72K in drug spend, with an opioid prescribing rate of 5.3%.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1497789150 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/10/2006 |
Hospital and facility affiliations
Facilities where Sembua Danieli, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Sembua Danieli, MD is affiliated with 5 Medicare-billing facilities across 2 states.
Carteret County General Hospital Corporation
Morehead City, NC
Charleston Area Medical Center Inc
Charleston, WV
Hospital Physician Services - Southeast Professional Corporation
Rutherfordton, NC
North Carolina MG LLC
Raleigh, NC
Unc Physicians Network LLC
Kinston, NC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
683
Total Claims
$72K
Total Drug Cost
268
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 826
- Total Day Supply
- 18,743
- Generic Drug Cost
- $9K
- Opioid Claims
- 36 (5.3% rate)
- Antibiotic Claims
- 125
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 2.63
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 42, 65-74: 90, 75-84: 96, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sembua Danieli, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Eliquis
Eliquis
57 claims
- Atorvastatin Calcium
Atorvastatin Calcium
32 claims
- Amlodipine Besylate
Amlodipine Besylate
31 claims
- Azithromycin
Azithromycin
30 claims
- Cefuroxime
Cefuroxime
27 claims
- Torsemide
Torsemide
26 claims
- Prednisone 22
Prednisone
22 claims
- Metoprolol Succinate 18
Metoprolol Succinate
18 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 57 |
| Atorvastatin Calcium | 32 |
| Amlodipine Besylate | 31 |
| Azithromycin | 30 |
| Cefuroxime Cefuroxime Axetil | 27 |
| Torsemide | 26 |
| Prednisone | 22 |
| Metoprolol Succinate | 18 |
| Amiodarone Hcl | 17 |
| Carvedilol | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Sembua Danieli, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Sembua Danieli, MD's 683 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Danieli.
Dr. M Anwar Abdeen
MD
Montgomery, WV
Dr. Mohammed Abdulqader
M.D.
Huntington, WV
Dr. Muhammad Afzal
MD
Charleston, WV
Dr. Krishan Aggarwal
MD
Weirton, WV
Dr. Phillip Aguila
MD
Martinsburg, WV
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sembua Danieli, MD's specialty? ▼
Sembua Danieli, MD specializes in Internal Medicine Physician and practices in Charleston, West Virginia. Credentials: MD.
How much does Sembua Danieli, MD prescribe under Medicare Part D? ▼
In 2023, Sembua Danieli, MD wrote 683 Medicare Part D claims totaling $72K in drug costs for 268 beneficiaries.
Where is Sembua Danieli, MD located? ▼
Sembua Danieli, MD is located at 501 MORRIS ST, Charleston, WV, 25301. Phone: (304) 388-5432.
What is Sembua Danieli, MD's NPI number? ▼
Sembua Danieli, MD's National Provider Identifier (NPI) is 1497789150, issued on 07/10/2006.
Does Sembua Danieli, MD prescribe opioids? ▼
Yes, Sembua Danieli, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Sembua Danieli, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sembua Danieli, MD's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sembua Danieli, MD accept Medicare? ▼
Sembua Danieli, MD appears in CMS Medicare data with 683 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sembua Danieli, MD's credentials? ▼
Sembua Danieli, MD's NPI is 1497789150 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.