Active NPI
Samuel P Eng, MD
- Family Medicine Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0050207
- Practice address
- 18111 Prince Philip Dr
Suite #207
Olney, MD 20832-1507 - Phone
- (301) 774-7170
- Fax
- (301) 774-6676
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0050207 | MD | Primary |
Addresses
Primary practice location
18111 Prince Philip Dr
Suite #207
Olney, MD 20832-1507
Mailing address
18111 Prince Philip Dr
Suite #207
Olney, MD 20832-1507
Phone (301) 774-7170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020201100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1560 Opossumtown Pike
Frederick, MD 21702
Phone (301) 662-8866
1564 Opossumtown Pike
Frederick, MD 21702
Phone (301) 663-3137
Organizations & group practices 4
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.
-
dba Frederick Health Imaging
- Radiology Clinic/Center
- Frederick, MD
- NPI 1982600771
Family Medicine
-
dba Righttime Medical Care
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
dba Frederick Health Imaging
- Radiology Clinic/Center
- Frederick, MD
- NPI 1699559823
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1134199557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "SUITE #207",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321507",
"telephone_number": "301-774-7170",
"fax_number": "301-774-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "SUITE #207",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321507",
"telephone_number": "301-774-7170",
"fax_number": "301-774-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "SAMUEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0050207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020201100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.