Samira Ummat, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00047652 Issued in WA

Practice address

3100 Carillon PT
Kirkland, WA 98033-7306

Phone

(425) 576-1700

Fax

(425) 827-7725

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 19, 2017 through Apr 19, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Longevity Medical Clinic

  • Specialist
  • Kirkland, WA
  • NPI 1023231172
  NPD (past)
• Northwest Nasal Sinus Center

  • Physical Medicine & Rehabilitation Physician
  • Kirkland, WA
  • NPI 1053448258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982732830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-525-2525",
            "fax_number": "206-525-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337306",
            "telephone_number": "425-576-1700",
            "fax_number": "425-827-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMMAT",
        "first_name": "SAMIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00047652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD00047652",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Tutt
• Brad Tyson, PSY.D.
• Cheryl Tyson, LICSW
• Delaney K Uhlman, RN
• Genevieve Ulm, LMHCA
• Sunil K Ummat, MD
• Kavadias Nadine Umugwaneza
• Unbound Minds, PLLC.
• Danielle Ung, PH.D.
• Unified Center for Women'S Health, PLLC

• Physical Medicine & Rehabilitation Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.