1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAMUEL SISAY HAILU MD
NPI 1326994617
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 09, 2026PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2134 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Sisay Hailu Md NPPES

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

SAMUEL SISAY HAILU MD (NPI 1326994617) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326994617
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL SISAY HAILUCredential: MD
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901
Phone(206) 987-2134
Sole ProprietorNo
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1326994617 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.
4800 SAND POINT WAY NE, Seattle, WA 98105
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Sisay Hailu 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.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

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 Samuel Sisay Hailu's NPI number?

The NPI number for Samuel Sisay Hailu is 1326994617. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Samuel Sisay Hailu located?

Samuel Sisay Hailu practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2134.

What is Samuel Sisay Hailu's specialty?

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

Is Samuel Sisay Hailu enrolled in Medicare?

Yes. Samuel Sisay Hailu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Sisay Hailu was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.