Active NPI
Samantha Tuttamore, PA-C
- Surgical Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA030322
- Practice address
- 110 Irving St NW
Washington, DC 20010 - Phone
- (202) 877-5580
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA030322 | DC | Primary |
| Surgical Physician Assistant | 363AS0400X | C0002757 | MD |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010
Mailing address
9323 Cedar LN
Bethesda, MD 20814-3974
Phone (773) 220-7268
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Suburban Physician Assistant Associates, LLC. | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Interoperability endpoints
- stuttamore1142656@direct.trinity-health.org
Organizations & group practices 8
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.
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1902626765
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
-
- Physician Assistant
- Bethesda, MD
- NPI 1528052990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
- General Acute Care Hospital
- Germantown, MD
- NPI 1245655638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1700927365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9323 CEDAR LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143974",
"telephone_number": "773-220-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-877-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTAMORE",
"first_name": "SAMANTHA",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DC",
"license": "PA030322",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0002757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.