Individual provider Active NPI

Lynn H Samuel, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Warrenton, VA
National Provider Identifier
1013906627
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101044708 Issued in VA
Practice address
493 Blackwell Rd
Suite 101a
Warrenton, VA 20186-2628
Phone
(540) 316-5604
Fax
(540) 316-5601
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 0101044708 VA
Cytopathology Physician 207ZC0500X 0101044708 VA
Hematology (Pathology) Physician 207ZH0000X 0101044708 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101044708 VA Primary
Chemical Pathology Physician 207ZP0104X 0101044708 VA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 0101044708 VA
Pediatric Pathology Physician 207ZP0213X 0101044708 VA
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 0101044708 VA

Addresses

Primary practice location

493 Blackwell Rd
Suite 101a
Warrenton, VA 20186-2628

Mailing address

1560 Chapman Rd
Stanardsville, VA 22973-3620
Phone (540) 316-5604

Other identifiers 2

IdentifierTypeStateIssuer
6600590MedicaidVA
P00757523OtherVARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000471 VA Practitioner - PathologyPractitioner - Undersea and Hyperbaric Medicine 0648344218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Undersea and Hyperbaric Medicine
Education
Virginia Commonwealth University, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathfinder DiagnosticsGroup PAC ID 1456425024, 3 clinicians

Practice addresses (Care Compare)

493 Blackwell Rd
Suite 101a
Warrenton, VA 20186-2628
Phone (540) 316-4325

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue346
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101044708VAMDPediatric Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Medical Center LLC Current Accepting new patients
Lynn H Samuel MD LLC Undersea and Hyperbaric Medicine CurrentSince Jun 10, 2009 Accepting new patients
Pathfinder Diagnostics Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2008 Accepting new patients
Fauquier Pathology Blood Banking & Transfusion Medicine Past Accepting new patients
Sunrise Medical Laboratories, Inc. PastSince Aug 1, 2012 Accepting new patients

Locations

9834 Business Way
Manassas, VA 20110

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

493 Blackwell Rd
Ste 101A
Warrenton, VA 20186
Phone (540) 316-4325

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1013906627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CHAPMAN RD",
            "city": "STANARDSVILLE",
            "state": "VA",
            "postal_code": "229733620",
            "telephone_number": "540-316-5604",
            "fax_number": "540-316-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "SUITE 101A",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-316-5604",
            "fax_number": "540-316-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LYNN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101044708",
            "primary": true
        },
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "VA",
            "license": "0101044708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00757523",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.