Samson M Ambaw (NPI# 1356521033, PAC ID# 6507902913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1356521033 |
| PAC ID by PECOS | 6507902913 |
| Professional Enrollment ID | I20120815000183 |
| Full Name | Samson M Ambaw |
| Organization Legal Name | MIDWEST NEPHROLOGY GROUP PLLC |
| Address |
9230 E Reno Ave Suite B Midwest City OK 73130-3320 |
| Phone Number | 4057374900 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214210624 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| 370094 | ALLIANCEHEALTH MIDWEST |
| 370234 | OKLAHOMA HEART HOSPITAL SOUTH, LLC |
| 370149 | ST ANTHONY SHAWNEE HOSPITAL |
| 370229 | ALLIANCEHEALTH SEMINOLE |
| Address | Phone | Organization |
|---|---|---|
| 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 | 4057374900 | MIDWEST NEPHROLOGY GROUP PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 11% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 11% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 22% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 22% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Organization Legal Name | MIDWEST NEPHROLOGY GROUP PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kandy M Brown | Nurse Practitioner | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Bereket Alemu | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Wudeneh Zewdie | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Street Address |
9230 E RENO AVE SUITE B |
| City | MIDWEST CITY |
| State | OK |
| Zip | 73130-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kandy M Brown | Nurse Practitioner | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Bereket Alemu | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Wudeneh Zewdie | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg S Govett | Otolaryngology | 1201 S Post Rd, Midwest City, OK 73130-2457 | |
| Brandon J Cox | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Aaron David Crespo | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Dick Stewart | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Laurie K Cain | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Allison Marie Thomas | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Stephanie Anne Taylor | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Vicki Lynn Buchanan | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Mark A Ward | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Natalie Johnston | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Find all physicians in zip 73130 | |||
| City | MIDWEST CITY |
| Zip Code | 73130 |
| Specialty | NEPHROLOGY |
| City + Specialty | MIDWEST CITY + NEPHROLOGY |
Please comment or provide details below to improve the information on Samson M Ambaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.