Active NPI
Manasi Samal, DO
- Anatomic Pathology & Clinical Pathology Physician
- Morgantown, WV
National Provider Identifier
1003618059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 390200000X
- Practice address
- 1 Waterfront PL
Morgantown, WV 26501-5978 - Phone
- (301) 293-6829
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 390200000X | WV | Primary |
Addresses
Primary practice location
1 Waterfront PL
Morgantown, WV 26501-5978
Mailing address
7230 Windsor LN
Hyattsville, MD 20782-1045
Phone (301) 466-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | WV | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1003618059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 WINDSOR LN",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207821045",
"telephone_number": "301-466-2403",
"fax_number": "301-466-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WATERFRONT PL",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265015978",
"telephone_number": "301-293-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAL",
"first_name": "MANASI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.