Active NPI
Samuel K Ameyaw, MD
- Surgical Assistant
- La Plata, MD
National Provider Identifier
1891014684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 3020
- Practice address
- 5 Garrett Ave
La Plata, MD 20646-5960 - Phone
- (301) 609-4000
- NPI assigned
- May 19, 2010
- Last updated
- Nov 2, 2025
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Surgical Assistant | 246ZC0007X | 3020 | ||
| Surgical Assistant | 246ZC0007X | 3020 | MD | Primary |
| Specialist | 174400000X | CWSP3858 | ||
| Nutritionist | 133N00000X | |||
| Surgical Technologist | 246ZS0410X | 651855 | MD | |
| Orthopedic Assistant | 246ZX2200X | 1180 | ||
| Health Educator | 174H00000X | |||
| Surgical Assistant | 246ZC0007X | 170048 | ||
| Surgical Assistant | 246ZC0007X | 238.000191 | IL | |
| Orthopedic Assistant | 246ZX2200X | 1180 | MD | |
| Specialist | 174400000X | PNS2100372R | ||
| Specialist | 174400000X | CPH23172 |
Addresses
Primary practice location
5 Garrett Ave
La Plata, MD 20646-5960
Mailing address
327 Saint Marys Ave Apt E
La Plata, MD 20646-5961
Phone (301) 247-5990
Other names 1
- Dr. Samuel K Ameyaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000191 | IL | MD | Surgical Assistant |
| 3020 | MD | MD | Surgical Assistant |
| 651855 | MD | MD | Surgical Technologist |
| 1180 | MD | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762041600000",
"number": "1891014684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 SAINT MARYS AVE APT E",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206465961",
"telephone_number": "301-247-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GARRETT AVE",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206465960",
"telephone_number": "301-609-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEYAW",
"first_name": "SAMUEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2025-11-02",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "3020",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "MD",
"license": "3020",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "CWSP3858",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "MD",
"license": "651855",
"primary": false
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "1180",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "170048",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000191",
"primary": false
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "MD",
"license": "1180",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "PNS2100372R",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "CPH23172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMUEL",
"last_name": "AMEYAW",
"middle_name": "K",
"prefix": "DR.",
"credential": "MD CWSP PNS CSA OPA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.