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DAVID KAMIS
NPI 1124493648
Student in an Organized Health Care Education/Training Program in Farmington Hills, MI

Active since December 09, 2015PECOS Enrolled
29056 FOREST HILL DR, FARMINGTON HILLS, MI 48331(248) 489-0755 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Kamis NPPES

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

DAVID KAMIS (NPI 1124493648) is an individual student in an organized health care education/training program in Farmington Hills, Michigan and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124493648
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID KAMIS
Location Address29056 FOREST HILL DRFarmington Hills, MI 48331-2487
Mailing Address29056 Forest Hill DrFarmington Hills, MI 48331-2487 · (248) 489-0755
Phone(248) 489-0755
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 9, 2015
✔ NPI 1124493648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
29056 FOREST HILL DR, Farmington Hills, MI 48331
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Kamis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537543772
PECOS Enrollment IDI20220907001386, I20250617003073
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

2

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

Blue Moon Of Colorado LLC
255 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1629593967 (855) 241-7160
Bmsc Az LLC
255 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1497201875 (855) 241-7160

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

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 David Kamis's NPI number?

The NPI number for David Kamis is 1124493648. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is David Kamis located?

David Kamis practices at 29056 Forest Hill Dr, Farmington Hills, MI 48331. The listed phone number is (248) 489-0755.

What is David Kamis's specialty?

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

Is David Kamis enrolled in Medicare?

Yes. David Kamis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Kamis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kamis reassigns Medicare benefits to 2 organizations: Blue Moon Of Colorado LLC (Plainfield, IL) and Bmsc Az LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Kamis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Kamis was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.