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SAM KIDANE
NPI 1497412399
Nurse Practitioner - Family in Newark, DE

Active since November 26, 2021PECOS EnrolledAccepts Medicare Assignment
314 E MAIN ST STE 103, NEWARK, DE 19711(302) 366-0550 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2024, Nov 26, 2021 (2 updates tracked since 2021).

About Sam Kidane NPPES

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

SAM KIDANE (NPI 1497412399) is an individual family provider in Newark, Delaware, licensed in Delaware (LG-0011831) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Sentara Northern Virginia Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497412399
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAM KIDANE
Location Address314 E MAIN ST STE 103Newark, DE 19711-7180
Mailing Address3830 Green StClaymont, DE 19703-2054 · (302) 299-5161
Phone(302) 366-0550
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 26, 2021
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1497412399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in DE · LG-0011831✔ Licensed in VA · 0024188207
314 E MAIN ST STE 103, Newark, DE 19711
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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

Sam Kidane 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 ID1254719289
PECOS Enrollment IDI20240610002381, I20240923001827
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 6

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.
55 services54 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.
27 services26 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. JUDY MI-YOUNG LIM MD
Family Medicine
314 E MAIN ST STE 103
NEWARK, DE 19711
New Castle County (023) 663-0550
DAWN MICHELE POLETAEV APRN-BC
Nurse Practitioner (Family)
314 E MAIN ST STE 103
NEWARK, DE 19711
New Castle County (302) 366-0550
ELECTRA ARLENE MOSES MS., RDN
Dietitian, Registered
314 E MAIN ST STE 103
NEWARK, DE 19711
New Castle County (302) 366-0550
NICOLE RENEE MCCARRY FNP
Nurse Practitioner (Family)
314 E MAIN ST STE 103
NEWARK, DE 19711
New Castle County (302) 366-0550

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 Sam Kidane's NPI number?

The NPI number for Sam Kidane is 1497412399. It was assigned to this individual provider in the NPPES registry on November 26, 2021.

Where is Sam Kidane located?

Sam Kidane practices at 314 E Main St Ste 103, Newark, DE 19711. The listed phone number is (302) 366-0550.

What is Sam Kidane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sam Kidane enrolled in Medicare?

Yes. Sam Kidane 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.

Is Sam Kidane affiliated with any hospitals?

According to CMS data, Sam Kidane is affiliated with Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Sam Kidane was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.