Sam Azargoon, MD
Individual provider Active NPI Internal Medicine Physician · Largo, MD
NPI 1992265995 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1992265995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D0094658 (MD)
- Practice address
- 901 Harry S Truman Dr N
Largo, MD 20774-5477 - Phone
- (240) 677-1000
- Fax
- (318) 374-7267
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Adfinitas Health at Umcap LLC
Practice addresses (Care Compare)
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
- Inova Alexandria Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220905000312 | DC | Practitioner - Hospitalist |
9133503469 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0094658 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current |
Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates, PA | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current |
Accepting new patients |
| Adfinitas Health at Umcap, LLC | Current |
Accepting new patients | |
| Dimensions Health Corporation | Past | Accepting new patients |
Locations
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | D0094658 | MD | Yes |
Addresses
Primary practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone (240) 677-1000
Other providers in Largo, MD
- Avenel Holistic Health Services LLC
- Awesome Resource Coordination, Inc.
- Aya Behavioral Health LLC
- Aya Behavioral Health LLC
- Akinlawon Olugbenga Ayeni
- Jemilat Olapeju Badamas
- Gerria Marie Ballard
- Cecily Barbee
- Kathryn Ann Barron
- Ian Robert Barrows
All providers in Largo, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.