Individual provider Active NPI

Samuel S Norvell, M.D.

  • Dermatology Physician
  • Rockville, MD
National Provider Identifier
1750352704
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0035231 Issued in MD
Practice address
9707 Medical Center Dr
Suite 130
Rockville, MD 20850-3348
Phone
(301) 738-0047
Fax
(301) 738-1652
NPI assigned
Jan 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0035231 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr
Suite 130
Rockville, MD 20850-3348

Mailing address

9707 Medical Center Dr
Suite 130
Rockville, MD 20850-3348
Phone (301) 738-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Samuel S. Norvell, M.D. Dermatology PastSince Jun 27, 1987 Accepting new patients

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": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1750352704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-738-0047",
            "fax_number": "301-738-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-738-0047",
            "fax_number": "301-738-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVELL",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0035231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.