SAMIA MAZUMDER MD
NPI 1194304634
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Active since April 02, 2021PECOS Enrolled
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 29, 2024, Apr 12, 2021, Apr 2, 2021 (3 updates tracked since 2021).

About Samia Mazumder Md NPPES

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

SAMIA MAZUMDER MD (NPI 1194304634) is an individual student in an organized health care education/training program in Royal Oak, Michigan, licensed in Michigan (4351053470) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194304634
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMIA MAZUMDERCredential: MD
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712 · (248) 898-5000
Sole ProprietorYes
Enumeration DateApril 2, 2021
Last NPPES UpdateJune 29, 20243 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
NPI 1194304634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351053470
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.

3601 W 13 MILE RD, Royal Oak, MI 48073

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samia Mazumder 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 20

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

Pathology (Chemical Pathology)
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY
ROYAL OAK, MI 48073
Hospitalist
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Anesthesiology (Pain Medicine)
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Nurse Practitioner (Family)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Medical Genetics, Ph.D. Medical Genetics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073

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 Samia Mazumder's NPI number?

The NPI number for Samia Mazumder is 1194304634. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Samia Mazumder located?

Samia Mazumder practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is Samia Mazumder's specialty?

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

Is Samia Mazumder enrolled in Medicare?

Yes. Samia Mazumder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samia Mazumder was last updated on June 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.