Siamak Amrollahie, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

ML61679952 Issued in WA

Practice address

940 Northgate Dr
Richland, WA 99352-3505

Phone

(509) 969-0289

NPI assigned

Apr 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1285422923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 NORTHGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523505",
            "telephone_number": "509-969-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NORTHGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523505",
            "telephone_number": "509-969-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMROLLAHIE",
        "first_name": "SIAMAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "ML61679952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Sleep Disorders Company Inc
• Geoffrey Stillman Ames, MD
• Megan Rose Ames, CNM
• Amg Primary Healthcare LLC
• Katayoon Amir Jalali
• Lorena Anaya
• Peter Anda, PHARMD
• Amy Anderson
• Jason Brody Anderson
• Josie J Krieger Anderson

• Student in an Organized Health Care Education/Training Program in Richland, WA
• Providers in Richland, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.