Richard A Sampong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004500 Issued in MD

Practice address

6201 Annapolis Rd
Landover Hills, MD 20784-1307

Phone

(301) 276-3377

NPI assigned

May 20, 2011

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, NY, CA, FL, VA, IL, MO8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Life Care Center of Pensacola Nursing home, Pensacola, FL, CCN 106073
• St Camillus Residential Health Care Facility Nursing home, Syracuse, NY, CCN 335283
• Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
• Friendship Health and Rehab Center - South Nursing home, Roanoke, VA, CCN 495421
• Richfield Health Center - Salem Nursing home, Salem, VA, CCN 495013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• First Call Medical Center LLC

  dba First Call Urgent Care

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766
  Medicare reassignment Care Compare group
• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  DC, FL, MD, NY, VA

  Medicare reassignment Care Compare group
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039
  Medicare reassignment NPD
• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389

  IL, MO, Physician Assistant, VA

  Medicare reassignment NPD
• Vitalcare Medical Services PA

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1871470179

  FL, Physician Assistant

  Medicare reassignment NPD
• Ca Post Acute Specialists PC

  • Family Medicine Physician
  • Redding, CA
  • NPI 1710401302
  Medicare reassignment
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Ellicott City, MD
  • NPI 1841913613
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1962269845
  NPD
• MNR Industries, LLC

  dba ExpressCare of Severna Park

  • Urgent Care Clinic/Center
  • Severna Park, MD
  • NPI 1164925202
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• Statcare Group, LLC

  • Urgent Care Clinic/Center
  • Prince Frederick, MD
  • NPI 1780156455
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)

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

• Carroll Lutheran Village Inc

  • Skilled Nursing Facility
  • Westminster, MD
  • NPI 1437162526

  Nursing home

  Care Compare affiliation
• Escambia Medical Investors, LLC

  dba Life Care Center of Pensacola

  • Skilled Nursing Facility
  • Pensacola, FL
  • NPI 1700828365

  Nursing home

  Care Compare affiliation
• Friendship Health and Rehab Center South Inc

  • Skilled Nursing Facility
  • Roanoke, VA
  • NPI 1346616422

  Nursing home

  Care Compare affiliation
• Friendship RL LLC

  dba Richfield Health Center - Salem

  • Skilled Nursing Facility
  • Salem, VA
  • NPI 1932981230

  Nursing home

  Care Compare affiliation
• St. Camillus Residential Health Care Facility

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1659396943

  Nursing home

  Care Compare affiliation
• St. Camillus Residential Health Care Facility

  • Multi-Specialty Clinic/Center
  • Syracuse, NY
  • NPI 1942341532

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1154614394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700",
            "fax_number": "804-217-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841307",
            "telephone_number": "301-276-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPONG",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Patton, LCPC
• Ebonie Platt
• Autumn Rison
• Safeway Inc (Safeway Pharmacy #1085)
• Kabiru Ayotunde Salami
• Islamiat Sanni
• Jelili Ademola Sanni
• Brittny Sharrow
• Dawn Annmarie Shaw, D.D.S.
• Smile Loft Landover Dental LLC

• Physician Assistant in Landover Hills, MD
• Providers in Landover Hills, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.