SAM KIDANE
NPI 1497412399
Nurse Practitioner - Family in Newark, DE
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 maintains a secondary practice location in Fredericksburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Sam Kidane reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19711
- Reassigned Medicare billing, Delaware enrollment
- 7 clinicians in this Medicare group
Germantown, MD 20874
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Medicare enrollment name: Manbir Takhar PC
- 30 clinicians in this Medicare group
Germantown, MD 20874
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Medicare enrollment name: Medical Access PC
- 27 clinicians in this Medicare group
Germantown, MD 20874
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 26 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 146 clinicians in this Medicare group
Fredericksburg, VA 22407
- Reassigned Medicare billing, Virginia enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, VAPhysician 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.
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.
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.
Which organizations bill Medicare for Sam Kidane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Kidane reassigns Medicare benefits to 6 organizations: Premiere Physicians P.A. (Newark, DE), Manbir Takhar, P.C. (Germantown, MD), Medical Access P.C. (Germantown, MD), Tru Health Group, PC (Germantown, MD), Inova Ucc LLC (Vienna, VA) and 1 more organization, listed in the Medicare section above. Each 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 Sam Kidane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Sam Kidane · NPI 1497412399
Family physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1497412399 (Entity type: Individual)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0011831 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 314 E MAIN ST STE 103, Newark, DE 19711-7180
- **Phone:** (302) 366-0550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Premiere Physicians P.A. (NPI 1760580336, Newark, DE); Manbir Takhar, P.C. (NPI 1457322505, Germantown, MD); Medical Access P.C. (NPI 1144291204, Germantown, MD); Tru Health Group, PC (NPI 1194471946, Germantown, MD); Inova Ucc LLC (NPI 1508592114, Vienna, VA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497412399) · Data from the CMS NPPES public registry.