Kamal Sami Ajam, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Hartford, Connecticut. His current practice location is
151 Farmington Ave, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(336) 999-9999.
Kamal Sami Ajam is licensed to practice in North Carolina (license number 2010-00355) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306922117.
Physician's Profile
| Full Name | Kamal Sami Ajam |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 151 Farmington Ave, Hartford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306922117
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103862032
- Enrollment ID: I20100709000355
Medical Identifiers
Medical identifiers for Kamal Sami Ajam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306922117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 2010-00355 (North Carolina) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2010-00355 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kamal Sami Ajam allows following entities to bill medicare on his behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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| Entity Name | Carolinas Pain Institute, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376598268 PECOS PAC ID: 0244218550 Enrollment ID: O20040713000338 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamal Sami Ajam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kamal Sami Ajam, MD 151 Farmington Ave, Hartford, CT 06156-0001 Ph: () - | Kamal Sami Ajam, MD 151 Farmington Ave, Hartford, CT 06156-0001 Ph: (336) 999-9999 |
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