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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: August 09, 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
Phone(410) 955-2050
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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.

MARIO ALBERTO O'CONNOR CORDOVA MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-5020
LATOYA STEWART
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-5020
NATASHA GUPTA MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Bou-samra's NPI number?

The NPI number for Patrick Bou-samra is 1093274094. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Patrick Bou-samra located?

Patrick Bou-samra practices at 1800 Orleans St # Tower110, Baltimore, MD 21287. The listed phone number is (410) 955-2050.

What is Patrick Bou-samra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patrick Bou-samra enrolled in Medicare?

Yes. Patrick Bou-samra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Bou-samra was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.