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NIKHIL SAMTANI M.D.
NPI 1588083307
Internal Medicine - Sleep Medicine in Mount Vernon, WA

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2586(360) 428-6470 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2021, Jan 10, 2019 (2 updates tracked since 2019).

About Nikhil Samtani M.d. NPPES

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

NIKHIL SAMTANI M.D. (NPI 1588083307) is an individual sleep medicine provider in Mount Vernon, Washington, licensed in Washington (MD61056890) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Delafield.

NPPES Registry Identity

NPI1588083307
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameNIKHIL SAMTANICredential: M.D.
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127 · (360) 814-6451
Phone(360) 428-2586
Fax(360) 428-6470
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 9, 2014
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1588083307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Licenses✔ Licensed in WA · MD61056890✔ Licensed in WI · 70283
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
1415 E KINCAID ST, Mount Vernon, WA 98274
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Secondary Practice Location 1

Location 12301 Sun Valley Dr Ste 300Delafield, WI 53018-2318 · Phone (262) 928-4043

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Nikhil Samtani M.d. 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 ID941509723
PECOS Enrollment IDI20210324001114
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 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
212 services212 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.
156 services138 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
133 services130 patients
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.
119 services104 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
84 services84 patients
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.
30 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers290 claims290 services$38.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers142 claims142 services$89.80 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers139 claims306 services$33.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers117 claims615 services$19.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers70 claims373 services$15.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers199 claims199 services$58.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Nikhil Samtani's NPI number?

The NPI number for Nikhil Samtani is 1588083307. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Nikhil Samtani located?

Nikhil Samtani practices at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 428-2586.

What is Nikhil Samtani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Nikhil Samtani enrolled in Medicare?

Yes. Nikhil Samtani 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.

What insurance does Nikhil Samtani accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nikhil Samtani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nikhil Samtani affiliated with any hospitals?

According to CMS data, Nikhil Samtani is affiliated with Skagit Valley Hospital and Island Hospital.

When was this NPI record last updated?

The NPPES record for Nikhil Samtani was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.