Active NPI
Attique Samdani, M.D.
- Hematology & Oncology Physician
- Richmond, VA
National Provider Identifier
1285697276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101057790
- Practice address
- 1401 Johnston Willis Dr
Ste 100
Richmond, VA 23235-4730 - Phone
- (804) 330-7990
- Fax
- (804) 330-2701
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101057790 | VA | Primary |
Addresses
Primary practice location
1401 Johnston Willis Dr
Ste 100
Richmond, VA 23235-4730
Mailing address
7202 Glen Forest Dr
Suite 200
Richmond, VA 23226-3781
Phone (804) 673-0134
Other practice location 1
6605 W Broad St Ste A
Richmond, VA 23230-1714
Phone (804) 287-3000
Other practice location 2
6130 Harbourside Centre Loop
Ste 101
Midlothian, VA 23112-2170
Phone (804) 378-0394
Other practice location 3
8007 Discovery Dr Ste A
Richmond, VA 23229-8605
Phone (804) 287-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005868718 | Medicaid | VA | |
| C06287 | Other | VA | MEDICARE GROUP PTAN |
| C01120 | Other | VA | MEDICARE GROUP PTAN |
| 237403 | Other | VA | ANTHEM BCBS VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.8 of 100
- Quality
- 72.65
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1285697276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 GLEN FOREST DR",
"address_2": "SUITE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263781",
"telephone_number": "804-673-0134",
"fax_number": "804-673-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JOHNSTON WILLIS DR",
"address_2": "STE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-330-7990",
"fax_number": "804-330-2701"
}
],
"practiceLocations": [
{
"address_1": "6605 W Broad St Ste A",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232301714",
"country_code": "US",
"telephone_number": "804-287-3000",
"fax_number": "804-673-2731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6130 Harbourside Centre Loop",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231122170",
"country_code": "US",
"telephone_number": "804-378-0394",
"fax_number": "804-739-7649",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8007 Discovery Dr Ste A",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232298605",
"country_code": "US",
"telephone_number": "804-287-3000",
"fax_number": "804-673-2731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMDANI",
"first_name": "ATTIQUE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101057790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005868718",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C06287",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C01120",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS VA",
"identifier": "237403",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.