Active NPI
Sami Imran Amjad, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD60647799
- Practice address
- 104 W 5TH Ave
Spokane, WA 99204-4880 - Phone
- (509) 353-3960
- NPI assigned
- Jul 11, 2011
- Last updated
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PG172233 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT199009 | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D92463 | MD | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A167528 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 19500 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 29420 | WV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD60647799 | WA | Primary |
Addresses
Primary practice location
104 W 5TH Ave
Spokane, WA 99204-4880
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (732) 766-0683
Other practice location 1
800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 422-0405
Other practice location 2
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samjad154312@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | samjad154312@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 60.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167528 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 19500 | NV | MD | Critical Care Medicine (Internal Medicine) Physician |
| 29420 | WV | MD | Critical Care Medicine (Internal Medicine) Physician |
| PG172233 | OR | MD | Student in an Organized Health Care Education/Training Program |
| MT199009 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor | Critical Care Medicine | Current | Accepting new patients |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Trinity Hospital Holding Company | Past | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Critical Care Medicine | Past | Accepting new patients |
| West Virginia University Hospitals, Inc | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- samjad155327@direct.renown.org
Organizations & group practices 7
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Steubenville, OH
- NPI 1447981303
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
dba LifeBridge Suburban Physician Group LLCdba Dr Alexander Bogdaschewskyi
- Internal Medicine Physician
- Westminster, MD
- NPI 1093141616
-
dba LifeBridge Community Pulmonology LLC
- Pulmonary Disease Physician
- Pikesville, MD
- NPI 1306182621
Critical Care Medicine
-
dba Acute Care West
- General Acute Care Hospital
- Steubenville, OH
- NPI 1285715144
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba East Liverpool City Hospital
- General Acute Care Hospital
- East Liverpool, OH
- NPI 1659375673
-
dba Acute Care West
- General Acute Care Hospital
- Steubenville, OH
- NPI 1285715144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1760770788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "732-766-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-353-3960"
}
],
"practiceLocations": [
{
"address_1": "800 Garfield Ave",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261015340",
"country_code": "US",
"telephone_number": "304-422-0405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1155 Mill St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021576",
"country_code": "US",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMJAD",
"first_name": "SAMI",
"middle_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "PG172233",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT199009",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D92463",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A167528",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NV",
"license": "19500",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WV",
"license": "29420",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD60647799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samjad154312@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samjad154312@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.