Individual provider Active NPI

Samia I Quidwai, AU.D.

  • Audiologist
  • Rockville, MD
National Provider Identifier
1508630898
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01657 Issued in MD
Practice address
133 Rollins Ave Ste 2
Rockville, MD 20852-4040
Phone
(301) 468-7670
Fax
(301) 468-7620
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 01657 MD
Audiologist 231H00000X 01657 MD Primary

Addresses

Primary practice location

133 Rollins Ave Ste 2
Rockville, MD 20852-4040

Mailing address

1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone (703) 942-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208000403 DC Practitioner - Qualified Audiologist 2365891900 Reassigns benefits to 1 organization
I20250624001697 VA Practitioner - Qualified Audiologist 2365891900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Had Management, LLCGroup PAC ID 9032461892, 6 clinicians
Gallaudet UniversityGroup PAC ID 8820124670, 11 clinicians

Practice addresses (Care Compare)

46045 Palisade Pkwy
Suite 200
Potomac Falls, VA 20165-8762
Phone (703) 723-9672

800 Florida Ave NE
SLCC 2200
Washington, DC 20002-3600
Phone (202) 651-5328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01657MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallaudet University CurrentSince Dec 8, 2025 Accepting new patients

Locations

800 Florida Ave NE
#2200
Washington, DC 20002
Phone (202) 651-5328

800 Florida Ave NE
Bldg 2200
Washington, DC 20002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1508630898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013945",
            "telephone_number": "703-942-8110",
            "fax_number": "703-942-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 2",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040",
            "telephone_number": "301-468-7670",
            "fax_number": "301-468-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIDWAI",
        "first_name": "SAMIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01657",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.