Individual provider Active NPI

Samuel Joseph Plesner, DO

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1588027627
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60899552 Issued in WA
Practice address
801 S Stevens St
Spokane, WA 99204-2654
Phone
(509) 747-4455
Fax
(509) 363-7064
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 60899552 WA Primary
Diagnostic Radiology Physician 2085R0202X 2020-04839 NC
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

801 S Stevens St
Spokane, WA 99204-2654

Mailing address

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 747-4455

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 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

Enrollment IDStateProvider typePAC IDDetails
I20220523002097 WA Practitioner - Diagnostic Radiology 3971905894 Reassigns benefits to 11 organizations
I20220524002129 MT Practitioner - Diagnostic Radiology 3971905894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rocky Vista University College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-04839NCMDDiagnostic Radiology Physician
60899552WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Jul 1, 2022 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 5, 2022 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Moses Lake Community Health Center CurrentSince Jul 1, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 15, 2022 Accepting new patients
The Polyclinic CurrentSince Jul 1, 2022 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 5, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Jul 1, 2023 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 16, 2025 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jan 4, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jun 15, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jan 13, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients

Locations

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1145 Broadway
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1588027627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLESNER",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "60899552",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-04839",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.