Subhankar Samal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02998 Issued in NC

Practice address

300 W Northwood St
Greensboro, NC 27401-1324

Phone

(336) 355-9696

NPI assigned

Jul 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Triad Adult and Pediatric Medicine, Inc.

  • Federally Qualified Health Center (FQHC)
  • High Point, NC
  • NPI 1528720653
  Medicare reassignment NPD
• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment NPD
• Triad Adult and Pediatric Medicine, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greensboro, NC
  • NPI 1447980883
  Medicare reassignment
• Triad Adult and Pediatric Medicine, Inc.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1881059723
  NPD
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1225071491
  NPD
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD
• Triad Adult and Pediatric Medicine, Inc.

  • Federally Qualified Health Center (FQHC)
  • High Point, NC
  • NPI 1972050979
  NPD (past)
• Sacred Heart Rehabilitation Institute, Inc.

  • Rehabilitation Hospital
  • Mequon, WI
  • NPI 1508920356
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1235368358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918025",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NORTHWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011324",
            "telephone_number": "336-355-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAL",
        "first_name": "SUBHANKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "02998",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "02998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009024500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdoul Kader Salou Doudou
• Salud Nutrition and Wellness
• Marissa Salvitti, LCMHCA
• Pamela B Salvitti
• Sam'S Club Optical
• Athena Theodora Samaras, PPCNP-BC
• Alyssa Brenna Samet, M.A. CCC-SLP
• Brandee Samlow, LCMHCA
• Dakota Sampson
• Sams East Inc

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.

Verify at the official NPI Registry.