Active NPI
Sujana Samala, MD
- Anatomic Pathology & Clinical Pathology Physician
- Cary, NC
National Provider Identifier
1326061342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 200400254
- Practice address
- 1000 Crescent Green Drive
Suite 102
Cary, NC 27518-8116 - Phone
- (919) 816-4948
- Fax
- (919) 233-7685
- NPI assigned
- Jul 25, 2006
- Last updated
- Nov 19, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 200400254 | NC | Primary |
Addresses
Primary practice location
1000 Crescent Green Drive
Suite 102
Cary, NC 27518-8116
Mailing address
1000 Crescent Green Drive
Suite 102
Cary, NC 27518-8116
Phone (919) 816-4948
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1424N | Other | NC | BCBS OF NC |
| 191320 | Other | NC | MEDCOST |
| 5904394 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200400254 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1326061342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CRESCENT GREEN DRIVE",
"address_2": "SUITE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275188116",
"telephone_number": "919-816-4948",
"fax_number": "919-233-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CRESCENT GREEN DRIVE",
"address_2": "SUITE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275188116",
"telephone_number": "919-816-4948",
"fax_number": "919-233-7685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMALA",
"first_name": "SUJANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "200400254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1424N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "191320",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904394",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
- Shannon Salter, LCMHC-A
- Teresa Palmer Salter, M.D.
- Edward Scott Saltzman, D.M.D.
- Shirley Leisa Salvo Gac, MS, CCC-SLP
- Sam Safadi DDS Ms PLLC (Triangle Endodontics)
- Priyan Samarakoon, MD
- Samaritan Housing Foundation, Inc (Searstone Retirement Community)
- Samuel J. Deangelo
- Shiny Samuel, NP
- Michael Andrew Samuels, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.