Active NPI
Richard Samuel, MD
- Internal Medicine Physician
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D47095
- Practice address
- 7610 Carroll Ave Ste 410
Takoma Park, MD 20912-6321 - Phone
- (301) 608-3833
- NPI assigned
- May 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101052355 | VA | |
| Internal Medicine Physician | 207R00000X | D47095 | MD | Primary |
Addresses
Primary practice location
7610 Carroll Ave Ste 410
Takoma Park, MD 20912-6321
Mailing address
803 Russell Ave
Suite #1
Gaithersburg, MD 20879-3584
Phone (301) 869-0700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19735 Germantown Rd
Suite 310
Germantown, MD 20874-1231
Phone (301) 972-6444
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000
Hospital & facility affiliations
- Adventist Home Health Services, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052355 | VA | MD | Emergency Medicine Physician |
| D47095 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Dominion Urgent Care Center LLC | Internal Medicine | Past | Accepting new patients |
| Adventist Physician Services (Wah) | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
| Umc Holdings, Inc | Past | Accepting new patients | |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030
19735 Germantown Rd
Ste 310
Germantown, MD 20874
Phone (301) 972-6444
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
7610 Carroll Ave
Ste 410
Takoma Park, MD 20912
Phone (301) 891-5079
Interoperability endpoints
- richard.samuel@ahm.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Cardiovascular Disease Physician
- Rockville, MD
- NPI 1144247024
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1689803207
-
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1609955905
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1760436505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 RUSSELL AVE",
"address_2": "SUITE #1",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793584",
"telephone_number": "301-869-0700",
"fax_number": "301-948-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 410",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126321",
"telephone_number": "301-608-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101052355",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D47095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.