Individual provider Active NPI

Samuel Ryan Morris, MD

  • Internal Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1043536899
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25039 Issued in WV
Practice address
101 Marcley Dr
Martinsburg, WV 25401-2977
Phone
(304) 263-8911
Fax
(304) 263-9450
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25039 WV Primary

Addresses

Primary practice location

101 Marcley Dr
Martinsburg, WV 25401-2977

Mailing address

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Other practice location 1

97 Administrative Dr Ste 200A
Martinsburg, WV 25404-6378
Phone (304) 350-3230

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smorris581786@soc.inova.org
Direct Messaging Address smorris581786@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20131105000770 WV Practitioner - Family PracticePractitioner - Internal Medicine 9830333095 Reassigns benefits to 1 organization
Practice locations: Martinsburg, WV

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

97 Administrative Dr
Suite 200a
Martinsburg, WV 25404-6378
Phone (304) 350-3230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25039WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2018 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2018 Accepting new patients
East Mountain Health Physicians Inc. Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Four Leaf Clover Leasing Co., LLC Past Accepting new patients
Samuel Ryan Morris Internal Medicine PastSince Mar 1, 2017 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

97 Administrative Dr
#200
Martinsburg, WV 25404
Phone (304) 350-3230

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

97 Administrative Dr
Ste 200A
Martinsburg, WV 25404
Phone (304) 350-3230

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: smorris581786@valleyhealth.direct-ci.com

Organizations & group practices 7

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 12

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1043536899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Administrative Dr Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3230",
            "fax_number": "304-350-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SAMUEL",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "25039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smorris581786@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smorris581786@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr Ste 200",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.