Active NPI
Sam Naficy, M.D., P.S.
- Specialist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00037251
- Practice address
- 1110 112TH Ave NE Ste 150
Bellevue, WA 98004-4570 - Phone
- (425) 450-0880
- Fax
- (425) 450-0883
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00037251 | WA | Primary |
Addresses
Primary practice location
1110 112TH Ave NE Ste 150
Bellevue, WA 98004-4570
Mailing address
1110 112TH Ave NE Ste 150
Bellevue, WA 98004-4570
Phone (425) 450-0880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Washington School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 112TH Ave NE
Suite 150
Bellevue, WA 98004-4570
Phone (425) 450-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam Naficy, MD, PS, Inc | Current | Accepting new patients | |
| Tidal Anesthesia, PLLC | Past | Accepting new patients | |
| Strother Dermatology and Laser Treatment Center PLLC | Past | Accepting new patients |
Locations
1110 112th Ave NE
Ste 150
Bellevue, WA 98004
Phone (425) 450-0880
218 Main St
Kirkland, WA 98033
Phone (425) 681-2300
12911 120th Ave NE
Ste G100
Kirkland, WA 98034
Phone (425) 899-4144
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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1265614523
-
dba Laser Treatment Center
- Dermatology Physician
- Kirkland, WA
- NPI 1174732275
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1245074046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1801816947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 112TH AVE NE STE 150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044570",
"telephone_number": "425-450-0880",
"fax_number": "425-450-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 112TH AVE NE STE 150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044570",
"telephone_number": "425-450-0880",
"fax_number": "425-450-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFICY",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "M.D., P.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00037251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.