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SAMIR K KASSICIEH, DO, PC
NPI 1649430802
Family Medicine in Albuquerque, NM

Active since June 11, 2008CLIA 32D0673748 · Waiver
1010 BRIDGE BLVD SW, SUITE A, ALBUQUERQUE, NM 87105(505) 877-0212(505) 877-0139 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samir K Kassicieh, Do, Pc NPPES

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

SAMIR K KASSICIEH, DO, PC (NPI 1649430802) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samir K Kassicieh, Owner, as its authorized official.

NPPES Registry Identity

NPI1649430802
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAMIR K KASSICIEH, DO, PC
Location Address1010 BRIDGE BLVD SW, SUITE AAlbuquerque, NM 87105-3765
Mailing AddressPo Box 12435Albuquerque, NM 87195-0435 · (505) 877-0212 · Fax (505) 877-0139
Phone(505) 877-0212
Fax(505) 877-0139
Organization SubpartNo
Authorized OfficialSamir K KassiciehOwner · (505) 877-0212
Enumeration DateJune 11, 2008
Last NPPES UpdateNovember 19, 2008
✔ NPI 1649430802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1010 BRIDGE BLVD SW, Albuquerque, NM 87105
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Other Identifiers 3

Medicaid40279NM
Medicare PINNMB2097
Medicare UPIND43194

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0673748

Samir K Kassicieh Do · Albuquerque, NM
Active · expires Aug 31, 2026
CLIA Number32D0673748
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Samir K. Kassicieh
Laboratory Phone(505) 877-0212
Laboratory LocationSamir K Kassicieh Do1010 Bridge Blvd SW Suite A, Albuquerque, NM 87105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. RAFAT M MANSOUR DDS
Dentist (General Practice)
1010 BRIDGE BLVD SW, SUITE E
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-0435
MAY PHARMACY ISLETA
Pharmacy (Community/Retail Pharmacy)
1010 BRIDGE BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 873-2377
DR. EMERSON VICUNA D.D.S.
Dentist (General Practice)
1010 BRIDGE BLVD SW, STE F
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-1113
VALLEY HEALTH CARE INC.
Clinic/Center
1010 BRIDGE BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 873-4258
MR. IAN-MICHAEL ANTHONY LENTE PA-C
Physician Assistant (Medical)
1010 BRIDGE BLVD SW, SUITE B
ALBUQUERQUE, NM 87105
Bernalillo County (505) 508-1739
DR. PAUL F SACHS DDS
Dentist
1010 BRIDGE BLVD SW, SUITE C
ALBUQUERQUE, NM 87105
Bernalillo County (505) 898-4650
DOCTOR ON CALL 4, LLC
Family Medicine
1010 BRIDGE BLVD SW, SUITE B
ALBUQUERQUE, NM 87105
Bernalillo County (505) 873-4258

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 Samir K Kassicieh, Do, PC's NPI number?

The NPI number for Samir K Kassicieh, Do, PC is 1649430802. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Samir K Kassicieh, Do, PC located?

Samir K Kassicieh, Do, PC is located at 1010 Bridge Blvd SW Suite A, Albuquerque, NM 87105. The listed phone number is (505) 877-0212.

What is Samir K Kassicieh, Do, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Samir K Kassicieh, Do, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0673748) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samir K Kassicieh, Do, PC was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.