Active NPI
Samuel Maryles, MD
- Emergency Medicine Physician
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 04242
- Practice address
- 365 Montauk Ave
New London, CT 06320-4700 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04242 | CT | Primary |
Addresses
Primary practice location
365 Montauk Ave
New London, CT 06320-4700
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000
Hospital & facility affiliations
- HCA Houston Healthcare Northwest
- Valley Regional Medical Center
- Methodist Hospital
- HCA Houston Healthcare Kingwood
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.6 of 100
- Quality
- 89.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04242 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of New Haven County,LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Northeast Emergency Medicine Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| New York University | Emergency Medicine | Current | Accepting new patients |
| Nems PLLC | Emergency Medicine | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Clinic 21 of Connecticut LLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 29)
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
449 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 435-0452
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
Interoperability endpoints
- smaryles673552@nyumc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Emergency Medicine, NY
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1083910962
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1760856306
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013064591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204700",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYLES",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "04242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.