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SAMANTHA WILLIAMS AL-KHARUSY
NPI 1659931996
Pediatrics in Grand Rapids, MI

Active since June 18, 2019
721 KENMOOR AVE SE, GRAND RAPIDS, MI 49546(616) 949-6112(616) 949-8530 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Jul 14, 2023, Jul 25, 2022 and 2 more (5 updates tracked since 2019).

About Samantha Williams Al-kharusy NPPES

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

SAMANTHA WILLIAMS AL-KHARUSY (NPI 1659931996) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301509221) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1659931996
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA WILLIAMS AL-KHARUSY
Location Address721 KENMOOR AVE SEGrand Rapids, MI 49546-2306
Mailing Address721 Kenmoor Ave SeGrand Rapids, MI 49546-2306 · (616) 949-6112
Phone(616) 949-6112
Fax(616) 949-8530
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1659931996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301509221✔ Licensed in WI · 75134-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 75134 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 7761851 (WI)
721 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Names 1

Other Name (5)Samantha S Al-kharusy Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JOHN TYLER COCHRANE DO
Pediatrics
721 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
DR. AMANDA LEE WILLIAMS MD
Pediatrics
721 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112

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 Al-kharusy's NPI number?

The NPI number for Samantha Williams Al-kharusy is 1659931996. It was assigned to this individual provider in the NPPES registry on June 18, 2019. The provider is also known as Samantha S Al-Kharusy MD.

Where is Samantha Williams Al-kharusy located?

Samantha Williams Al-kharusy practices at 721 Kenmoor Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 949-6112.

What is Samantha Williams Al-kharusy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Samantha Williams Al-kharusy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Samantha Williams Al-kharusy 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.

When was this NPI record last updated?

The NPPES record for Samantha Williams Al-kharusy was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.