Active NPI
Kris Kumar Samaddar, M.D
- Emergency Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1407800261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 32728
- Practice address
- 7400 E Osborn Rd
Scottsdale, AZ 85251-6432 - Phone
- (480) 882-6359
- Fax
- (480) 882-4389
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32728 | AZ | Primary |
Addresses
Primary practice location
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Mailing address
PO Box 2710
Scottsdale, AZ 85252-2710
Phone (480) 882-6359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32728 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emcare - PNX Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Emergency Medicine | Current | Accepting new patients |
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Current | Accepting new patients | |
| Valley Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Empower Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Ingenuity Medical Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1902855992
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1083671432
-
- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1023298551
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1730112830
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1417986118
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1043224322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1407800261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2710",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852522710",
"telephone_number": "480-882-6359",
"fax_number": "480-882-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 E OSBORN RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516432",
"telephone_number": "480-882-6359",
"fax_number": "480-882-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADDAR",
"first_name": "KRIS",
"middle_name": "KUMAR",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "32728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.