Active NPI
Sama Kamal
- Internal Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60910623
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Providence at Home With Compassus Home Health, Inwa
- Eden Home Health
- Providence Holy Family Hospital
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Providence St Luke'S Rehabilitation Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60910623 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Internal Medicine | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Internal Medicine
-
- General Practice Physician
- Spokane, WA
- NPI 1306391446
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1033931043
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1588212641
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
-
- Rehabilitation Hospital
- Spokane, WA
- NPI 1497752091
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.