Individual provider Active NPI

Sama Kamal

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1992168561
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60910623 Issued in WA
Practice address
104 W 5TH Ave Ste 200W
Spokane, WA 99204-4803
Phone
(509) 744-3750
Fax
(509) 744-3969
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD60910623 WA Primary

Addresses

Primary practice location

104 W 5TH Ave Ste 200W
Spokane, WA 99204-4803

Mailing address

104 W 5TH Ave Ste 200W
Spokane, WA 99204-4803

Other practice location 1

9631 N Nevada St Ste 300
Spokane, WA 99218-1193
Phone (509) 489-4040

Other practice location 2

546 N Jefferson Ln Ste 100
Spokane, WA 99201-7104
Phone (509) 624-0111

Other names 1

  • Samaa Kamal Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skamal606927@wm.providencedirect.org Direct
Direct Messaging Address skamal606927@wm.providencedirect.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715002420 WA Practitioner - Internal Medicine 1658606538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9631 N Nevada St
Suite 300
Spokane, WA 99218-1193
Phone (509) 465-3919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60910623WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Aug 11, 2019 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Aug 11, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

546 N Jefferson Ln
Ste 100
Spokane, WA 99201
Phone (509) 624-0111

104 W 5th Ave
Ste 200W
Spokane, WA 99204
Phone (509) 624-2313

9631 N Nevada St
Ste 300
Spokane, WA 99218
Phone (509) 465-3919

546 N Jefferson Ln
Spokane, WA 99201
Phone (509) 290-6406

Interoperability endpoints

  • Direct secure messaging: skamal606927@wm.providencedirect.org

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.

Hospital & facility affiliations 5

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1992168561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 200W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 200W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044803",
            "telephone_number": "509-744-3750",
            "fax_number": "509-744-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9631 N Nevada St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181193",
            "country_code": "US",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 N Jefferson Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992017104",
            "country_code": "US",
            "telephone_number": "509-624-0111",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "SAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60910623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skamal606927@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "546 N Jefferson Ln Ste 100",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992017104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skamal606927@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9631 N Nevada St Ste 300",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992181193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMAA",
            "last_name": "KAMAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.