Individual provider Active NPI

Estelle Cooke-Sampson, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1013978261
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD11829 Issued in DC
Practice address
2041 Georgia Ave NW Ste 6101
Washington, DC 20060-5441
Phone
(202) 865-6679
Fax
(202) 865-3138
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD11829 DC Primary
Diagnostic Radiology Physician 2085R0202X D0032331 MD

Addresses

Primary practice location

2041 Georgia Ave NW Ste 6101
Washington, DC 20060-5441

Mailing address

2041 Georgia Ave NW Ste 6101
Washington, DC 20060-0001

Other practice location 1

21 Crossroads Dr
Ste 100
Owings Mills, MD 21117-5441
Phone (410) 356-8186 ext. 362

Other identifiers 5

IdentifierTypeStateIssuer
387951802MedicaidMD
KA80OtherMDB/C B/S
021654800MedicaidDC
J062OtherMDB/C B/S
2849OtherDCB/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031222000170 DC Practitioner - Diagnostic Radiology 7012815665 Reassigns benefits to 3 organizations
I20101220001062 MD Practitioner - Diagnostic Radiology 7012815665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

2659 Woodley Rd NW
Washington, DC 20008-4105
Phone (202) 328-1053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11829DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Howard University Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Howard University CurrentSince Aug 11, 2019 Accepting new patients
Southern Radiology MRI Partnership Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Washington Radiology Assoc PLLC Past Accepting new patients
Center Radiology PC Diagnostic Radiology Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Avicenna Radiology Partners, PC Diagnostic Radiology Past Accepting new patients
Southern Maryland Professional Rad Diagnostic Radiology Past Accepting new patients

Locations

1140 Varnum St NE
Ste B1
Washington, DC 20017
Phone (202) 526-3500

2139 Georgia Ave NW
Washington, DC 20001
Phone (202) 865-1121

2041 Georgia Ave NW
Ste 6101
Washington, DC 20060
Phone (202) 865-6679

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Organizations & group practices 11

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1013978261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 6101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 6101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200605441",
            "telephone_number": "202-865-6679",
            "fax_number": "202-865-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Crossroads Dr",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175441",
            "country_code": "US",
            "telephone_number": "410-356-8186 x362",
            "fax_number": "410-356-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE-SAMPSON",
        "first_name": "ESTELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD11829",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0032331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387951802",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "KA80",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021654800",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "J062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "2849",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.