DR. SAMUEL JOHN KJOME MD
NPI 1336110600
Family Medicine in Apo, AE

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
48 MEDICAL GROUP / SGOP UNIT 5210, BOX 230, APO, AE 09461 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel John Kjome Md NPPES

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

DR. SAMUEL JOHN KJOME MD (NPI 1336110600) is an individual family medicine provider in Apo, AE, licensed in Minnesota (59459) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1336110600
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL JOHN KJOMECredential: MD
Location Address48 MEDICAL GROUP / SGOP UNIT 5210, BOX 230Apo, AE 09461
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2004
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
NPI 1336110600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 59459
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 10065 (ND)
48 MEDICAL GROUP / SGOP UNIT 5210, Apo, AE 09461

Secondary Practice Location 1

Location 13850 Park Nicollet BlvdSt Louis Park, MN 55416-2527 · Phone (952) 993-3512

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel John Kjome Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850606245
PECOS Enrollment IDI20150813011489
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

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 Kjome's NPI number?

The NPI number for Samuel Kjome is 1336110600. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Samuel Kjome located?

Samuel Kjome practices at 48 Medical Group / Sgop Unit 5210 Box 230, Apo, AE 09461.

What is Samuel Kjome's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Kjome enrolled in Medicare?

Yes. Samuel Kjome is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Kjome accept?

Health plans from Medica list Samuel Kjome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Kjome affiliated with any hospitals?

According to CMS data, Samuel Kjome is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Kjome was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.