Kamal Sami Ajam (NPI# 1306922117, PAC ID# 6103862032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1306922117 |
| PAC ID by PECOS | 6103862032 |
| Professional Enrollment ID | I20100709000355 |
| Full Name | Kamal Sami Ajam |
| Organization Legal Name | CAROLINAS PAIN INSTITUTE, PA |
| Address |
145 Kimel Park Dr Suite 330 Winston Salem NC 27103-6972 |
| Phone Number | 3367656181 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2000 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244218550 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340148 | NOVANT HEALTH MEDICAL PARK HOSPITAL |
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 | 3367656181 | CAROLINAS PAIN INSTITUTE, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 19% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 19% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 4% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 4% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 10% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 10% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 24% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 24% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 64% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 64% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 28% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 28% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 91% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 91% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 15% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 15% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 56% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 56% |
| Organization Legal Name | CAROLINAS PAIN INSTITUTE, PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Rauck | Anesthesiology | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Christopher Aaron Gilmore | Anesthesiology | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Leonardo Kapural | Anesthesiology | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Carrie Elizabeth Johnson | Pain Management | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| James M North | Anesthesiology | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Nancy I Faller | Pain Management | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Melissa Wyatt Cole | Nurse Practitioner | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Winston Salem, NC 27103-6972 |
| Joan Priddy - Southern | Nurse Practitioner | Carolinas Pain Institute, Pa | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6972 |
| Street Address |
145 KIMEL PARK DR SUITE 330 |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-6972 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carie S Nunley | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Marcus A Helms | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Mary K Leavery | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Tammy V Phinney | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Benjamin J Boehnlein | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Joseph L Middleton | Anesthesiology | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6972 |
| Terrence P Almengual | Anesthesiology | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6972 |
| Alyssa Carroll | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Mary Elizabeth Cooper | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Robert Snow | Anesthesiology | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6972 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | WINSTON SALEM + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Kamal Sami Ajam.
| 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.