Organization Active NPI

Samy Salama MD Inc PS

  • Anesthesiology Physician
  • Bellevue, WA
National Provider Identifier
1528349016
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00014681 Issued in WA
Legal business name
SAMY SALAMA MD INC PS
Practice address
1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone
(425) 455-4900
Fax
(425) 455-4970
NPI assigned
Aug 29, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Samy M Salama, MD
Title
Owner
Phone
(425) 455-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD00014681 WA Primary

Addresses

Primary practice location

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825

Mailing address

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone (425) 455-4900

Other identifiers 2

IdentifierTypeStateIssuer
1084201MedicaidWA
015332OtherWALABOR & INDUSTRY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1528349016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE",
            "address_2": "SUITE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-455-4900",
            "fax_number": "425-455-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE",
            "address_2": "SUITE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-455-4900",
            "fax_number": "425-455-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMY SALAMA MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "SAMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-455-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00014681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084201",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "015332",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.