MR. SAMIOLLAH GHOLAM M.D
NPI 1326457904
Internal Medicine in Williston, VT
NPI Status: Active since August 07, 2014
Contact Information
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
Phone: (802) 847-1470
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About SAMIOLLAH GHOLAM
This page provides the complete NPI Profile along with additional information for Samiollah Gholam, an internist established in Williston, Vermont with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1326457904 assigned on August 2014. The practitioner's primary taxonomy code is 207R00000X with license number 042.0017590 (VT). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1326457904
- Provider Name
- MR. SAMIOLLAH GHOLAM M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 353 BLAIR PARK RD WILLISTON, VT 05495
- Location Phone
- (802) 847-1470
- Mailing Address
- 1115 SE 164TH AVE DEPT 358 VANCOUVER, WA 98683
- Mailing Phone
- (360) 729-1462
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-07-2014
- Last Update Date
- 03-27-2025
- Code Navigator
An internist like Samiollah Gholam is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 4545 Cordata Pkwy Ste 2A
Bellingham, WA 98226
(360) 738-2200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 042.0017590
- License State
- VT
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A145760 (CA) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | MD60836207 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Samiollah Gholam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 05495 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.71
- Minimum New Patient Price $55.8
- Maximum New Patient Price $168.48
- Average New Patient Copayment $31.92
- Minimum New Patient Copayment $13.95
- Maximum New Patient Copayment $42.12
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.4
- Minimum Established Patient Price $18.08
- Maximum Established Patient Price $137.84
- Average Established Patient Copayment $24.6
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.46
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. SAMIOLLAH GHOLAM M.D
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 4 | 5 | 7 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 8 | 5 | 14 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 8 + 5 + 1 + 4 + 9 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1326457904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BONITTA C STEUER CNM
Advanced Practice Midwife
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
MS. SHANNON R RUSSOM N.P.
Nurse Practitioner
(Family)
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
MS. DARLA E WITMER ARNP
Nurse Practitioner
(Primary Care)
353 BLAIR PARK RD
GIVEN HEALTH CARE
WILLISTON, VT
ZIP 05495
ELIOT W. NELSON M.D.
Pediatrics
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
SANDRA GAIL WOOD CNM
Advanced Practice Midwife
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
TRACEY SUE MAURER MD
Obstetrics & Gynecology
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
DR. DENNIS ARMAND PLANTE MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
KRISTA ROXANN NICKERSON CNM
Advanced Practice Midwife
353 BLAIR PARK RD
WOMEN'S HEALTH SERVICE
WILLISTON, VT
ZIP 05495
DR. MARVIN KLIKUNAS MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
MARTHA ELIZABETH CHURCHILL CNM
Advanced Practice Midwife
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
FLETCHER ALLEN HEALTH CARE,INC
Durable Medical Equipment & Medical Supplies
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
DR. LUCY MILLER MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
FLETCHER ALLEN HEALTH CARE-BLAIR PARK
Durable Medical Equipment & Medical Supplies
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
ANNE E BRENA MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
DR. ANN S WITTPENN M.D.
Pediatrics
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
PAMELA LEE JACKSON M.D.
Pediatrics
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
MS. HIMA B KANUPARTHI RD
Dietitian, Registered
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
GENEVIEVE FLANDERS PA-C
Physician Assistant
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
AMBER SNOW APRN
Nurse Practitioner
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
KARYN HARVEY FAREVAAG NP
Nurse Practitioner
353 BLAIR PARK RD
WILLISTON, VT
ZIP 05495
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326457904, enumerated as an "individual" on August 07, 2014.
The provider is located at 353 BLAIR PARK RD WILLISTON, VT 05495 and the phone number is (802) 847-1470.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and. Please consult your insurance carrier or call the provider to verify.
