Active NPI
Kamal Amirouche
- Acute Care Nurse Practitioner
- Cades, SC
National Provider Identifier
1609720085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209.031878
- Practice address
- 3555 N Williamsburg County Hwy
Cades, SC 29518-3008 - Phone
- (843) 210-5000
- NPI assigned
- Feb 23, 2026
- Last updated
- Aug 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.031878 | IL | MD | Acute 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.
-
- Hospitalist Physician
- Aurora, IL
- NPI 1548130883
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1508677964
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.