SAMMER DIA MD
NPI 1558112136
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 01, 2024PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(504) 494-8211 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sammer Dia Md NPPES

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

SAMMER DIA MD (NPI 1558112136) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558112136
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMMER DIACredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 30, 2024
NPI 1558112136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sammer Dia Md 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Sammer Dia's NPI number?

The NPI number for Sammer Dia is 1558112136. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Sammer Dia located?

Sammer Dia practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (504) 494-8211.

What is Sammer Dia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sammer Dia enrolled in Medicare?

Yes. Sammer Dia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sammer Dia was last updated on April 1, 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.