Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sammantha Jeane Kouba, DO

Individual provider Internal Medicine Physician · NPI 1760877344

Sammantha Jeane Kouba, DO is an Infectious Disease in Fargo, North Dakota. Qualified in 2015, 11 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa, North Dakota and Oregon.

Years since qualifying
11
Licensed in
IA, ND, OR
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
Fax: (701) 417-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 356-8969
  • 200 Hawkins Dr, Iowa City, IA 52242 — (319) 356-8969
  • 736 Broadway N, Fargo, ND 58102-4421 — (701) 234-2000
  • 2800 N. Vancouver Ste 230, Portland, OR 97227 — (503) 413-7074

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 16710 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence DO-05366 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG172349 (OR)

Record details

NPI number1760877344
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Fargo