Active NPI
Sadiq H Al-Samarrai, MD
- Psychiatry Physician
- Annapolis, MD
National Provider Identifier
1396703229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D69977
- Practice address
- 201 Defense Hwy
Suite 100
Annapolis, MD 21401-8943 - Phone
- (443) 481-6549
- Fax
- (443) 481-6515
- NPI assigned
- May 2, 2006
- Last updated
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 225391 | NY | |
| Psychiatry Physician | 2084P0800X | D69977 | MD | Primary |
Addresses
Primary practice location
201 Defense Hwy
Suite 100
Annapolis, MD 21401-8943
Mailing address
10611 Hickory PT
Columbia, MD 21044-4069
Phone (443) 481-6549
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford Regional Medical Services | Psychiatry | Past | Accepting new patients |
| Affinity Rehabilitation LLP | Past | Accepting new patients | |
| Psychiatric Network, PC | Psychiatry | Past | Accepting new patients |
| University Psychiatric Practice, Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1396703229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10611 HICKORY PT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444069",
"telephone_number": "443-481-6549",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY",
"address_2": "SUITE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018943",
"telephone_number": "443-481-6549",
"fax_number": "443-481-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-SAMARRAI",
"first_name": "SADIQ",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "225391",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D69977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.