Individual provider Active NPI

Samir Suvas Majmudar

  • Sleep Medicine (Internal Medicine) Physician
  • Federal Way, WA
National Provider Identifier
1619235421
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
OP61072733 Issued in WA
Practice address
34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726
Phone
(253) 838-3103
Fax
(253) 838-7134
NPI assigned
Apr 30, 2012
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1153 NE
Student in an Organized Health Care Education/Training Program 390200000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X OP61072733 WA Primary

Addresses

Primary practice location

34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726

Mailing address

34503 9TH Ave S Ste 230
Federal Way, WA 98003-8726
Phone (253) 838-3103

Other practice location 1

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-1600

Other identifiers 1

IdentifierTypeStateIssuer
2137681MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smajmudar77772@fhsce.catholichealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201014003739 WA Practitioner - Sleep Medicine 9133344450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

34503 9TH Ave S
Suite 230
Federal Way, WA 98003-8726
Phone (253) 945-0600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Sep 21, 2020 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34503 9th Ave S
Ste 230
Federal Way, WA 98003
Phone (253) 838-3103

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1619235421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 230",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038726",
            "telephone_number": "253-838-3103",
            "fax_number": "253-838-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 230",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038726",
            "telephone_number": "253-838-3103",
            "fax_number": "253-838-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4430 Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654739098",
            "country_code": "US",
            "telephone_number": "573-596-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJMUDAR",
        "first_name": "SAMIR",
        "middle_name": "SUVAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "1153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "OP61072733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137681",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smajmudar77772@fhsce.catholichealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34503 9th Ave S Ste 230",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.