Individual provider Active NPI

Pushma Raj Samtani, M.D.

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1508915935
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D28999 Issued in MD
Practice address
9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2508
Phone
(301) 868-3003
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D28999 MD Primary

Addresses

Primary practice location

9131 Piscataway Rd
Suite 280
Clinton, MD 20735-2508

Mailing address

9521 River Rd
Potomac, MD 20854-4635
Phone (301) 299-1165

Other identifiers 2

IdentifierTypeStateIssuer
8143794OtherMDUNITED HEALTHCARE ID
7428OtherMDBLUE CROSS BLUE SHIELD

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
I20100412000018 DC Practitioner - Internal Medicine 7214062306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raj & Pushma Samtani MDPC CurrentSince Mar 16, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508915935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 RIVER RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544635",
            "telephone_number": "301-299-1165"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMTANI",
        "first_name": "PUSHMA",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D28999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "8143794",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7428",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.