Samantha Kumarasena, MD
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
Details
- NPI
- 1407436629
- Entity type
- Individual (NPI-1)
- Name
- Samantha Kumarasena
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2021
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
330 Brookline AveBoston, MA 02215-5400
Phone 617-667-7000
Mailing address
330 Brookline AveBoston, MA 02215-5491
Phone 617-632-8310
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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