MEDICARE: DR. SAMUEL A SEMEGN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0048152	MD
2	207R00000X	Internal Medicine Physician	MD22126	DC

General Provider Information

NPI Number	:	1770656076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL A SEMEGN MD

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	1221 MERCANTILE LANE
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5374
Country	:	US
Telephone Number	:	301-618-5578
Fax Number	:	301-618-5673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/16/2026

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