SAMI AWADH MD
NPI 1902509565
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 23, 2023PECOS Enrolled
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7036 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sami Awadh Md NPPES

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

SAMI AWADH MD (NPI 1902509565) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Medical College Of Wisconsin (2023).

NPPES Registry Identity

NPI1902509565
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMI AWADHCredential: MD
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address1750 N Astor St Apt AMilwaukee, WI 53202-1545 · (703) 789-7236
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2023
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
NPI 1902509565 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.
1015 NW 22ND AVE, Portland, OR 97210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sami Awadh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951767888
PECOS Enrollment IDI20260526001980
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.

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

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
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

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 Sami Awadh's NPI number?

The NPI number for Sami Awadh is 1902509565. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Sami Awadh located?

Sami Awadh practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7036.

What is Sami Awadh's specialty?

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

Is Sami Awadh enrolled in Medicare?

Yes. Sami Awadh is registered in the Medicare PECOS enrollment system.

Is Sami Awadh affiliated with any hospitals?

According to CMS data, Sami Awadh is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Sami Awadh was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.