Active NPI
Sam Medical Center of America PLLC
- Health Service Clinic/Center
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SAM MEDICAL CENTER OF AMERICA PLLC
- Practice address
- 1601 18TH St NW Ste 4
Washington, DC 20009-2505 - Phone
- (202) 223-0969
- Fax
- (202) 223-0963
- NPI assigned
- Mar 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Antwi, FNP-BC, PHD
- Title
- Ceo/President
- Phone
- (202) 223-0969
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1601 18TH St NW Ste 4
Washington, DC 20009-2505
Mailing address
1601 18TH St NW Ste 4
Washington, DC 20009-2505
Phone (202) 223-0969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Sam Medical Center of America PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Washington, DC
- NPI 1346652286
Locations
1601 18th St NW
Ste 4
Washington, DC 20009
Phone (202) 223-0969
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1144528209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701561600000",
"number": "1972845485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 18TH ST NW STE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092505",
"telephone_number": "202-223-0969",
"fax_number": "202-223-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 18TH ST NW STE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092505",
"telephone_number": "202-223-0969",
"fax_number": "202-223-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM MEDICAL CENTER OF AMERICA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-22",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A",
"authorized_official_last_name": "ANTWI",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "202-223-0969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP-BC, PHD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.