SAMMANTHA JEANE KOUBA DO
NPI 1760877344
Internal Medicine - Infectious Disease in Fargo, ND
About Sammantha Jeane Kouba Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMMANTHA JEANE KOUBA DO (NPI 1760877344) is an individual infectious disease provider in Fargo, North Dakota, licensed in North Dakota (16710) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sammantha Jeane Kouba Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Sammantha Kouba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Fargo, ND 58078
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Sammantha Kouba's NPI number?
The NPI number for Sammantha Kouba is 1760877344. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Sammantha Kouba located?
Sammantha Kouba practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.
What is Sammantha Kouba's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Sammantha Kouba enrolled in Medicare?
Yes. Sammantha Kouba 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.
Which organization bills Medicare for Sammantha Kouba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sammantha Kouba reassigns Medicare benefits to Sanford Medical Center Fargo (West Fargo, ND). The 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 Sammantha Kouba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sammantha Kouba accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Sammantha Kouba 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 Sammantha Kouba affiliated with any hospitals?
According to CMS data, Sammantha Kouba is affiliated with Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Sammantha Kouba was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sammantha Jeane Kouba, DO · NPI 1760877344
Infectious Disease physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1760877344 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 16710 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5225 23RD AVE S, Fargo, ND 58104-7927
- **Phone:** (701) 417-2575 · **Fax:** (701) 417-2535
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sanford Medical Center Fargo (NPI 1184917924, West Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760877344) · Data from the CMS NPPES public registry.