SAMINA MUNEERUDDIN (MD) – Pediatric Nephrology Physician, NPI 1821299934

SAMINA MUNEERUDDIN (MD) is a healthcare provider. based in Spokane, Washington. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. C1-0013383 (DE). The NPI Number for SAMINA MUNEERUDDIN (MD) is 1821299934

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SAMINA MUNEERUDDIN (MD)
NPI
1821299934
Phone
(509) 252-1704
Address
105 W 5th Ave Ste 150E
Enumeration Date
29 May 2007
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083819384
Graduation Year
2000 (26 years ago)
PAC ID
2668641358
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20230525002581
Address ID
ID837126241BO190XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:19State licenses:5Digital endpointsOther names

648 PEDIATRIC MEDICINE in WA

Provider Addresses for SAMINA MUNEERUDDIN (MD)

  • 105 W 5th Ave Ste 150E

    Spokane, WA 992044820

    Phone: (509) 252-1704

    Fax: (509) 227-7070

    Type: Location

  • 740 S Limestone Ste K201

    Lexington, KY 405084025

    Phone: (859) 323-6211

    Type: Location

  • 1600 Rockland Rd

    Wilmington, DE 198033607

    Phone: (302) 651-4000

    Fax: (302) 651-4547

    Type: Location

  • 325 Marlton Pike E

    Cherry Hill, NJ 080342408

    Phone: (856) 309-8508

    Fax: (856) 309-8556

    Type: Location

  • 160 E Erie Ave

    Philadelphia, PA 191341011

    Phone: (484) 628-1324

    Type: Location

  • 3601 A street

    SCPA

    Philadelphia, PA 191341005

    Phone: (215) 427-5195

    Type: Location

  • 160 E ERIE AVE

    PHILADELPHIA, PA 191341011

    Phone: (484) 628-1324

    Type: Location

  • Nemours/Alfred I. duPont Hospital for Children, 1600, Rockland Road, Wilmington, New Castle County, Delaware, 19803, United States

    WILMINGTON, DE 198033607

    Phone: (302) 651-4000

    Fax: (302) 651-4547

    Type: Location

  • 740 S LIMESTONE K201

    LEXINGTON, KY 405360001

    Phone: (859) 323-6211

    Type: Location

  • 2661 HUNTIGDON PIKE

    CARRIAGE HOUSE 2ND FLOOR

    HUNTINGDON VALLEY, PA 19006

    Phone: (646) 644-3219

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110815000590IPediatric MedicinePATBD
I20191209001516INephrologyNJTBD
I20211208002367IPediatric MedicineWATBD
I20230525002581IPediatric MedicineIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981878402View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)MN
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID

Reviews

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Frequently asked questions

Is there an official ID for SAMINA MUNEERUDDIN (MD) in U.S. healthcare records?
The official identifier for SAMINA MUNEERUDDIN (MD) is NPI 1821299934.
Would SAMINA MUNEERUDDIN (MD) appear as active to a payer?
You can treat SAMINA MUNEERUDDIN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SAMINA MUNEERUDDIN (MD)'s focus?
For SAMINA MUNEERUDDIN (MD), the primary taxonomy reads as Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SAMINA MUNEERUDDIN (MD)?
Directory geography for SAMINA MUNEERUDDIN (MD) centers on Spokane, Washington.
When was this NPI issued?
Enumeration for SAMINA MUNEERUDDIN (MD) is noted as May 29, 2007 where the registry provides it.