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SAMANTHA WILLIAMS
NPI 1508324385
Urology in Edmonds, WA

Active since March 11, 2019PECOS Enrolled
21822 76TH AVE W, EDMONDS, WA 98026(425) 775-7166 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Mar 11, 2019 (2 updates tracked since 2019).

About Samantha Williams NPPES

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

SAMANTHA WILLIAMS (NPI 1508324385) is an individual urology provider in Edmonds, Washington, licensed in Washington (MD61616128) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508324385
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameSAMANTHA WILLIAMS
Location Address21822 76TH AVE WEdmonds, WA 98026-7900
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(425) 775-7166
Sole ProprietorNo
Enumeration DateMarch 11, 2019
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1508324385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · MD61616128
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
21822 76TH AVE W, Edmonds, WA 98026
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Secondary Practice Locations 2

Location 1209 Martin Luther King Jr WayTacoma, WA 98405-4267 · Phone (253) 596-3300 · Fax (253) 596-3301
Location 2150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-4300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Williams 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samantha Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services- Washington
6.4 mi
Family Medicine
16708 BOTHELL-EVERETT HIGHWAY, SUITE 201
Mill Creek, WA 98012
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1790014504 (425) 482-9020
Kaiser Foundation Health Plan Of Washington
12 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561
The Southeast Permanente Medical Group
2,181 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 9

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

SOUND UROLOGICAL ASSOCIATES P.S.
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
MATTHEW J WATSON DO
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
DR. TIMOTHY M RODDY MD
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
SOUND UROLOGICAL ASSOCIATES P.S.
Clinic/Center (Ambulatory Surgical)
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
WEN CHEN
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
CHRISTINE Y TERRY PHYSCIANS ASSISTANT
Physician Assistant (Medical)
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
DR. JOHN D MALDAZYS MD
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166
MARCO A SALAZAR MD, PH.D
Urology
21822 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 775-7166

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 Samantha Williams's NPI number?

The NPI number for Samantha Williams is 1508324385. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Samantha Williams located?

Samantha Williams practices at 21822 76th Ave W, Edmonds, WA 98026. The listed phone number is (425) 775-7166.

What is Samantha Williams's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samantha Williams enrolled in Medicare?

Yes. Samantha Williams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Williams reassigns Medicare benefits to 3 organizations: Providence Health & Services- Washington (Mill Creek, WA), Kaiser Foundation Health Plan Of Washington (Seattle, WA) and The Southeast Permanente Medical Group (Atlanta, GA). 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 Samantha Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Williams was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.