Organization Active NPI

Raj & Pushma Samtani MDPC

  • Cardiovascular Disease Physician
  • Clinton, MD
National Provider Identifier
1891902268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D27744 Issued in MD
Legal business name
RAJ & PUSHMA SAMTANI MDPC
Practice address
9131 Piscataway Rd
280
Clinton, MD 20735-2508
Phone
(301) 868-3003
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raj B Samtani, MDNPI 1417938390
Title
President
Phone
(301) 868-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X D27744 MD Primary

Addresses

Primary practice location

9131 Piscataway Rd
280
Clinton, MD 20735-2508

Mailing address

9131 Piscataway Rd
280
Clinton, MD 20735-2508
Phone (301) 868-3003

Other identifiers 1

IdentifierTypeStateIssuer
53520001OtherDCBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315000487 DC Part B Supplier - Clinic/Group Practice 0244365336 Receives reassigned benefits from 2 practitioners
Practice locations: Waldorf, MD; Clinton, MD

National Provider Directory

National Provider Directory

Locations

9131 Piscataway Rd
Ste 280
Clinton, MD 20735
Phone (301) 868-3003

11340 Pembrooke Sq
Ste 212
Waldorf, MD 20603
Phone (301) 870-8189

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891902268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "280",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "telephone_number": "301-868-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "280",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "telephone_number": "301-868-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ & PUSHMA SAMTANI MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMTANI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-868-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D27744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "53520001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.