Individual provider Active NPI

Kamal Amirouche

  • Acute Care Nurse Practitioner
  • Cades, SC
National Provider Identifier
1609720085
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209.031878 Issued in IL
Practice address
3555 N Williamsburg County Hwy
Cades, SC 29518-3008
Phone
(843) 210-5000
NPI assigned
Feb 23, 2026
Last updated
Aug 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.031878 IL Primary

Addresses

Primary practice location

3555 N Williamsburg County Hwy
Cades, SC 29518-3008

Mailing address

14367 Creekwood Dr
Orland Park, IL 60467-7106
Phone (630) 696-0958

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260414002040 IL Practitioner - Nurse Practitioner 1759857188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5950 Canoga Ave
Suite 300
Woodland Hills, CA 91367-5041

5950 Canoga Ave
Suite 300
Woodland Hills, CA 91367-5051

PO Box
Woodland Hills, CA 91365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.031878ILMDAcute Care Nurse Practitioner

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1609720085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14367 CREEKWOOD DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677106",
            "telephone_number": "630-696-0958",
            "fax_number": "630-696-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 N WILLIAMSBURG COUNTY HWY",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183008",
            "telephone_number": "843-210-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIROUCHE",
        "first_name": "KAMAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.031878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3555 N Williamsburg County Hwy",
            "city": "Cades",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295183008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cades, SC

Sources for this page

Verify at the official NPI Registry.