Individual provider Active NPI

Mark Atiena Samols, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockville, MD
National Provider Identifier
1235372111
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D77716 Issued in MD
Practice address
9901 Medical Center Dr
Department of Pathology
Rockville, MD 20850-3357
Phone
(240) 826-6094
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D77716 MD Primary

Addresses

Primary practice location

9901 Medical Center Dr
Department of Pathology
Rockville, MD 20850-3357

Mailing address

9901 Medical Center Dr
Department of Pathology
Rockville, MD 20850-3357
Phone (240) 826-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20140930000460 DC Practitioner - Pathology 6002067733 Reassigns benefits to 2 organizations
I20221021000801 MD Practitioner - Pathology 6002067733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Hospital-Based Providers, LLCGroup PAC ID 3173044815, 7 clinicians

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-4000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6000

9909 Medical Ctr Dr
Rockville, MD 20850-6361
Phone (240) 864-6000

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pathology Associates, LLC CurrentSince Aug 1, 2014 Accepting new patients
Adventist Hospital-Based Providers, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2025 Accepting new patients
Blackwell Physicians, LLC Past Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Interoperability endpoints

  • Direct secure messaging: msamols1242310@direct.umm.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1235372111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOLS",
        "first_name": "MARK",
        "middle_name": "ATIENA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D77716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.