DR. PATRICK BOU-SAMRA MD
NPI 1093274094
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 19, 2019PECOS Enrolled
1800 ORLEANS ST # TOWER110, BALTIMORE, MD 21287(410) 955-2050 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2019, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Patrick Bou-samra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK BOU-SAMRA MD (NPI 1093274094) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093274094
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PATRICK BOU-SAMRACredential: MD
Location Address1800 ORLEANS ST # TOWER110Baltimore, MD 21287-0010
Mailing Address225 N Calvert StBaltimore, MD 21202-4937
Sole ProprietorYes
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration
NPI 1093274094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgeryTaxonomy 208600000X · License 0213 (MD)
1800 ORLEANS ST # TOWER110, Baltimore, MD 21287

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Patrick Bou-samra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093274094, enumerated as an "individual" on March 19, 2019.

The provider is located at 1800 ORLEANS ST # TOWER110 BALTIMORE, MD 21287 and the phone number is (410) 955-2050.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.