Individual provider Active NPI

Raj Samtani, M.D.

  • Cardiovascular Disease Physician
  • Clinton, MD
National Provider Identifier
1417938390
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0027744 Issued in MD
Practice address
9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2508
Phone
(301) 868-3003
Fax
(301) 932-8544
NPI assigned
Nov 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0027744 MD Primary

Addresses

Primary practice location

9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2508

Mailing address

9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2508
Phone (301) 868-3003

Other identifiers 3

IdentifierTypeStateIssuer
47270OtherMDMAMSI
47270OtherDCOPTIMUM CHOICE
5352-0001OtherDCBC BS NCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000587 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587799671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raj and Pushma Samtani MDPCGroup PAC ID 0244365336, 2 clinicians

Practice addresses (Care Compare)

9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2511
Phone (301) 868-3003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0027744MDMDCardiovascular Disease Physician
27744MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raj & Pushma Samtani MDPC Cardiovascular Disease CurrentSince Jan 1, 1989 Accepting new patients

Locations

9131 Piscataway Rd
Ste 280
Clinton, MD 20735
Phone (301) 868-3003

11340 Pembrooke Sq
Ste 212
Waldorf, MD 20603
Phone (301) 870-8189

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417938390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "SUITE 280",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "telephone_number": "301-868-3003",
            "fax_number": "301-932-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "SUITE 280",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "telephone_number": "301-868-3003",
            "fax_number": "301-932-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMTANI",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0027744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "47270",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "47270",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NCA",
            "identifier": "5352-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.