Active NPI
Salwa Elsamanoudi, M.D.
- Pediatrics Physician
- Annapolis, MD
National Provider Identifier
1114950631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0032499
- Practice address
- 2629 Riva Rd
Suite 112
Annapolis, MD 21401-7428 - Phone
- (410) 266-1000
- Fax
- (410) 573-4028
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0032499 | MD | Primary |
Addresses
Primary practice location
2629 Riva Rd
Suite 112
Annapolis, MD 21401-7428
Mailing address
14701 Harvest LN
Silver Spring, MD 20905-5642
Phone (301) 384-9521
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700250 | Other | NCPPO | |
| 1201796 | Other | UNITED HEALTHCARE MCO | |
| 1981628 | Other | UNITED HEALTHCARE | |
| 9973 | Other | KAISER | |
| 281931 | Other | MAMSI | |
| 5808053 | Other | AETNA PPO | |
| 010266 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| 3628495002 | Other | CIGNA | |
| 2328093 | Other | AETNA HMO | |
| 93126 | Medicaid | MD | |
| 0024 | Other | MD | CAREFIRST DC |
| 113382 | Other | COVENTRY | |
| 35168709 | Other | MD | CAREFIRST MARYLAND |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114950631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14701 HARVEST LN",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055642",
"telephone_number": "301-384-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 RIVA RD",
"address_2": "SUITE 112",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017428",
"telephone_number": "410-266-1000",
"fax_number": "410-573-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSAMANOUDI",
"first_name": "SALWA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0032499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "700250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE MCO",
"identifier": "1201796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1981628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "9973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "281931",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5808053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "010266",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3628495002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2328093",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93126",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "0024",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "113382",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "35168709",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.