Samuel Sunday Nokuri, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D70766 Issued in MD

Practice address

9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046-3458

Phone

(443) 899-9525

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Express and Advanced Diagnostics IncGroup PAC ID 3870857030, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Health Express and Advanced Diagnostics Inc

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1144718792

  DC

  Medicare reassignment Care Compare group
• Premier Health Express and Advanced Diagnostics Inc

  • Family Medicine Physician
  • Oxon Hill, MD
  • NPI 1831705748
  NPD Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1730360587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463458",
            "telephone_number": "443-899-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5474 Saint Barnabas Rd",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453622",
            "country_code": "US",
            "telephone_number": "240-401-6126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Town Square Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lusby",
            "state": "MD",
            "postal_code": "206576535",
            "country_code": "US",
            "telephone_number": "124-040-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOKURI",
        "first_name": "SAMUEL",
        "middle_name": "SUNDAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P20661",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D70766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600315000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Nobil, M.S., CCC-SLP
• Nod Construction
• Noesis Therapeutic & Wellness
• Teri Nofer
• Elizabeth Kristen Noh
• Karina Nolasco
• Kami Nolke
• Lisa Noll
• Judith Noonan
• Sadegh Noori

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.

Verify at the official NPI Registry.