Individual provider Active NPI

Samora Charles Lungu

  • Surgical Physician Assistant
  • Bethesda, MD
National Provider Identifier
1699231563
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C07477 Issued in MD
Practice address
10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone
(301) 530-1010
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200001321 DC
Surgical Physician Assistant 363AS0400X C07477 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184

Mailing address

6201 Greenleigh Ave FL 2
Middle River, MD 21220-2004

Other practice location 1

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (000) 000-0000

Other practice location 2

1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633
Phone (301) 530-1010

Other practice location 3

19735 Germantown Rd Ste 120
Germantown, MD 20874-1225
Phone (301) 530-1010

Other practice location 4

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (202) 715-4600

Other practice location 5

369 S Highland St Apt 101
Memphis, TN 38111-1559
Phone (347) 671-5735

Other practice location 6

8401 Greensboro Dr Ste 120
Mc Lean, VA 22102-5101
Phone (301) 530-1010

Other practice location 7

9601 Blackwell Rd Ste 100
Rockville, MD 20850-6477
Phone (301) 530-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200728000949 MD Practitioner - Physician Assistant 6204250947 Reassigns benefits to 1 organization
I20200728001128 DC Practitioner - Physician Assistant 6204250947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 660-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C07477MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Jul 20, 2020 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Dec 6, 2022 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Dec 6, 2022 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jul 20, 2020 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jul 20, 2020 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

Interoperability endpoints

  • Direct secure messaging: slungu643021@direct.hopkinsmedicine.org

Organizations & group practices 10

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.

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1699231563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE FL 2",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141422",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 N George Mason Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053633",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19735 Germantown Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208741225",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 L St NW Ste 450",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371541",
            "country_code": "US",
            "telephone_number": "202-715-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "369 S Highland St Apt 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381111559",
            "country_code": "US",
            "telephone_number": "347-671-5735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Greensboro Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221025101",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Blackwell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506477",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNGU",
        "first_name": "SAMORA",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA200001321",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C07477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.