Individual provider Active NPI

David M Samsami, M.D.

  • Family Medicine Physician
  • Kaneohe, HI
National Provider Identifier
1043382005
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD13057 Issued in HI
Practice address
45-1151 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3211
Phone
(808) 247-7770
Fax
(808) 247-7799
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD13057 HI Primary

Addresses

Primary practice location

45-1151 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3211

Mailing address

45-1151 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3211
Phone (808) 247-7770

Other identifiers 2

IdentifierTypeStateIssuer
0000251241OtherHIHMSA
558835MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000528 HI Practitioner - Family Practice 7517922362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD13057HIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: david.samsami@hawaiihie.medicity.net
  • Direct secure messaging: david.samsami@48430940160004.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1043382005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1151 KAMEHAMEHA HWY STE C",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443211",
            "telephone_number": "808-247-7770",
            "fax_number": "808-247-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1151 KAMEHAMEHA HWY STE C",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443211",
            "telephone_number": "808-247-7770",
            "fax_number": "808-247-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSAMI",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD13057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000251241",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558835",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.