Individual provider Active NPI

Tommel Samani, M.D.

  • Hospitalist Physician
  • North Kansas City, MO
National Provider Identifier
1649651100
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2018023745 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone
(816) 455-0681
Fax
(816) 455-5294
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015015422 MO
Family Medicine Physician 207Q00000X 2018023745 MO
Hospitalist Physician 208M00000X 2018023745 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254

Mailing address

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 455-0681

Other practice location 1

6675 Holmes Rd
Suite 450
Kansas City, MO 64131
Phone (816) 276-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180924001685 MO Practitioner - HospitalistPractitioner - Family Practice 7113214131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Hospital & facility affiliations

  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA Family Medicine Current Accepting new patients
P&C Healthcare LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Aug 30, 2018 Accepting new patients
P & C Consultant Services Hospitalist Past Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine Past Accepting new patients

Locations

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

Interoperability endpoints

  • Direct secure messaging: tommel.samani@hca2.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1649651100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-455-0681",
            "fax_number": "816-455-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-455-0681",
            "fax_number": "816-455-5294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64131",
            "country_code": "US",
            "telephone_number": "816-276-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANI",
        "first_name": "TOMMEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015015422",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018023745",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2018023745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.