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SAMA HEALTHCARE
NPI 1376906388
Family Medicine in Minneapolis, MN

Active since March 29, 2016CLIA 24D2175242 · Waiver
2639 NICOLLET AVE.,, SUITE 130, MINNEAPOLIS, MN 55408(612) 886-2686(612) 781-5251 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2019, Mar 29, 2016 (2 updates tracked since 2016).

About Sama Healthcare NPPES

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

SAMA HEALTHCARE (NPI 1376906388) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Suad Haji, Owner, as its authorized official.

NPPES Registry Identity

NPI1376906388
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAMA HEALTHCARE
Location Address2639 NICOLLET AVE.,, SUITE 130Minneapolis, MN 55408
Mailing Address2639 Nicollet Ave.,, Suite 130Minneapolis, MN 55408 · (612) 886-2686
Phone(612) 886-2686
Fax(612) 781-5251
Organization SubpartNo
Authorized OfficialSuad HajiOwner · (612) 987-1439
Enumeration DateMarch 29, 2016
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
✔ NPI 1376906388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 20943
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.
2639 NICOLLET AVE.,, Minneapolis, MN 55408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Sama Healthcare, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Stephen Darrow, M.D.
Internal Medicine
NPI 1659585156
5324 30TH AVE S
Minneapolis, MN 55417
(202) 486-4852
✔ PECOS4.0 mi
Emmanuela Enyinnaya, DNP, CNP, APRN
Nurse Practitioner
NPI 1346958642
5101 MINNEHAHA AVE
Minneapolis, MN 55417
(612) 547-5700
✔ PECOS✔ Accepts Medicare4.7 mi
Virginia Villarreal, RN, CNP, FNP-BC
Nurse Practitioner
NPI 1518583590
1185 TOWN CENTRE DR
Eagan, MN 55123
(760) 583-1525
✔ PECOS10 mi
Eleanor Johnson, NP
Nurse Practitioner
NPI 1588251235
515 DIVISION ST
Excelsior, MN 55331
(952) 474-5488
✔ PECOS✔ Accepts Medicare14 mi
Olivia Mabberi, APNP
Nurse Practitioner
NPI 1013613660
4365 PHEASANT RIDGE DR NE STE 106
Blaine, MN 55449
(888) 938-3838
✔ PECOS✔ Accepts Medicare16 mi
Binh Truong, NP
Nurse Practitioner
NPI 1306429857
15051 GALAXIE AVE
Apple Valley, MN 55124
(866) 389-2727
✔ PECOS✔ Accepts Medicare16 mi
Wosilat Soboyede
Nurse Practitioner
NPI 1619511235
3064 ASARUM CT
Shakopee, MN 55379
(651) 354-8544
✔ PECOS17 mi
Jawaher Taher
Nurse Practitioner
NPI 1225876956
161 POTTOK LN
Shakopee, MN 55379
(952) 393-2229
✔ PECOS17 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2175242

Sama Healthcare · Minneapolis, MN
Active · expires Nov 18, 2027
CLIA Number24D2175242
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorStephen Darrow
Laboratory Phone(612) 886-2686
Laboratory LocationSama Healthcare2639 Nicollet Ave, Suite 130, Minneapolis, MN 55408
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sama Healthcare's NPI number?

The NPI number for Sama Healthcare is 1376906388. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Sama Healthcare located?

Sama Healthcare is located at 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408. The listed phone number is (612) 886-2686.

What is Sama Healthcare's specialty?

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

Is Sama Healthcare enrolled in Medicare?

Yes. Sama Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sama Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Sama Healthcare. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sama Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2175242) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sama Healthcare was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.