Nels Sampatacos, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD60366024 Issued in WA

Practice address

5125 Olympic Dr NW Ste 110
Gig Harbor, WA 98335-1712

Phone

(253) 853-4000

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CT2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Arizona College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Sport Orthopedics LLCGroup PAC ID 9234468018, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nsampatacos439107@direct.multicare.org
• Direct secure messaging: nsampatacos46948@connecticutchildrens.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Sport Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Gig Harbor, WA
  • NPI 1336791094
  Medicare reassignment Care Compare group NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1841639119
  NPD
• Connecticut Children's Specialty Group, Inc.

  • Ophthalmology Physician
  • Glastonbury, CT
  • NPI 1568056984
  NPD
• Connecticut Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1669448882
  NPD

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1265632988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 7TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981040001",
            "telephone_number": "206-860-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 OLYMPIC DR NW STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351712",
            "telephone_number": "253-853-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-837-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPATACOS",
        "first_name": "NELS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML20008976",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD60366024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleana Genevieve Salamanca
• Kathleen Wynn Salisbury, MPH, IBCLC, RLC
• Mia Francesca Sambataro, CERTIFIED COUNSELOR
• Rachel Lynne Sammis-Falk, PA-C
• John M. Samms, M.D.
• Sampson Therapy PLLC
• Miri Rhiannon Sampson, LMFTA
• Neil M Sampson
• Patricia Sanchez, FNP
• Justin Santamaria, DPT

• Sports Medicine (Orthopaedic Surgery) Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.