Individual provider Active NPI

Sammy Mohamed Ashouri, M.D.

  • Radiation Oncology Physician
  • Stanford, CA
National Provider Identifier
1871906396
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A160913 Issued in CA
Practice address
300 Pasteur Dr RM H1330
Stanford, CA 94305
Phone
(650) 725-1812
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 23

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.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of San Luis Obispo a Medical Group Inc 56 clinicians
DHHS IHS Phoenix Area 54 clinicians
California Managed Imaging Medical Group Inc 76 clinicians
DHHS PHS Naihs Chinle Comprehensive Health Care Facility 160 clinicians
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH Adm 219 clinicians
Gila River Health Care Corporation 245 clinicians
DHHS,PHS,Naihs, Gallup Indian Medical Center 179 clinicians

Practice addresses (Care Compare)

1100 S Miami Ave
Apt 3002
Miami, FL 33130-4173
Phone (805) 461-7080

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

215 SE 8TH Ave
Apt 2940
Ft Lauderdale, FL 33301-4061
Phone (469) 771-7836

2175 State Rd
Suite 4
Pinon, AZ 86510-2147
Phone (928) 725-9000

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

483 W Seed Farm Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (602) 528-7100

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240706000025 TX Practitioner - Diagnostic Radiology 0749592996 Reassigns benefits to 7 organizations
I20240917004614 FL Practitioner - Diagnostic Radiology 0749592996 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Apr 5, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Jun 12, 2025 Accepting new patients
Gila River Health Care Corporation CurrentSince Jun 13, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 5, 2025 Accepting new patients
DHHS IHS Phoenix CurrentSince Oct 20, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 20, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jun 12, 2025 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Dec 20, 2024 Accepting new patients
Gila River Health Care CurrentSince Jun 13, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 20, 2024 Accepting new patients
Irene Benn Medical Center CurrentSince Oct 20, 2024 Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A160913 CA
Radiation Oncology Physician 2085R0001X A160913 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Pasteur Dr RM H1330
Stanford, CA 94305

Mailing address

300 Pasteur Dr RM H1330
Stanford, CA 94305-2200

Other practice location 1

1600 SW Archer Rd
Box 100374
Gainesville, FL 32610-3003
Phone (352) 265-0438

Other practice location 2

1600 SW Archer Rd
Box 100374
Gainesville, FL 32610-3003
Phone (352) 265-0438

Other practice location 3

483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone (602) 528-1200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1871906396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H1330",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H1330",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-725-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Box 100374",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0438",
            "fax_number": "352-265-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Box 100374",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0438",
            "fax_number": "352-265-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "483 W Seed Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Sacaton",
            "state": "AZ",
            "postal_code": "851475000",
            "country_code": "US",
            "telephone_number": "602-528-1200",
            "fax_number": "602-528-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHOURI",
        "first_name": "SAMMY",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A160913",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A160913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.