Individual provider Active NPI

Samantha Grey Cutler, MD

  • Pediatrics Physician
  • Woodbridge, VA
National Provider Identifier
1215132337
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101241587 Issued in VA
Practice address
13001 Summit School Rd
Woodbridge, VA 22192-2903
Phone
(703) 494-4811
Fax
(703) 494-2098
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101241587 VA Primary

Addresses

Primary practice location

13001 Summit School Rd
Woodbridge, VA 22192-2903

Mailing address

7015C Manchester Blvd
Alexandria, VA 22310-3253
Phone (703) 971-6900

Other practice location 1

7015C Manchester Blvd
Alexandria, VA 22310-3253
Phone (703) 971-6900

Other names 1

  • Samantha Joy Grey Former name

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

State licenses

LicenseStateTypeSpecialty
0101241587VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Group, PC Current Accepting new patients

Locations

7015C Manchester Blvd
Alexandria, VA 22310
Phone (703) 971-6900

Interoperability endpoints

  • Direct secure messaging: samantha.cutler@tpgp.eclinicaldirectplus.com
  • Direct secure messaging: samanthacutler@tpedg.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1215132337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103253",
            "telephone_number": "703-971-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SUMMIT SCHOOL RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922903",
            "telephone_number": "703-494-4811",
            "fax_number": "703-494-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015C Manchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103253",
            "country_code": "US",
            "telephone_number": "703-971-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "SAMANTHA",
        "middle_name": "GREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101241587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GREY",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.