SAMANTA MUKKAMALA MD
NPI 1093343196
Emergency Medicine in Winston Salem, NC

Q: What is Samanta Mukkamala's NPI number?

The NPI number for Samanta Mukkamala is 1093343196. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Samanta Mukkamala's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Samanta Mukkamala was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 01, 2020PECOS Enrolled

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-6922(336) 716-5438 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Jan 22, 2026, Apr 1, 2020 (3 updates tracked since 2020).

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About Samanta Mukkamala Md NPPES

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

SAMANTA MUKKAMALA MD (NPI 1093343196) is an individual emergency medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2024-01917) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Alabama College Of Medicine (2024).

NPPES Registry Identity

NPI1093343196

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameSAMANTA MUKKAMALACredential: MD

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-6922 · Fax (336) 716-5438

Phone(336) 716-6922

Fax(336) 716-5438

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2024

Enumeration DateApril 1, 2020

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1093343196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2024-01917

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2024-01917 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Secondary Practice Locations 2

Location 12005 Pisgah Church RdGreensboro, NC 27455-3309 · Phone (336) 716-9150 · Fax (336) 702-9166

Location 21900 Electric RdSalem, VA 24153-7494 · Phone (540) 776-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samanta Mukkamala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577083658

PECOS Enrollment IDI20260202000153

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.

Medicare Billing Reassignments

Medicare enrollment records show Samanta Mukkamala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest University Health Sciences

Same address

Multi-Specialty

MEDICAL CENTER BLVD
Winston Salem, NC 27157

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1003803032 (336) 716-2255

Wake Forest Emergency Providers

39 mi

Multi-Specialty

557 BROOKDALE DR
Statesville, NC 28677

Reassigned Medicare billing, North Carolina enrollment
580 clinicians in this Medicare group

NPI 1396216735 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CRAIG MICHAEL COMBS MD

Anesthesiology