Individual provider Active NPI

Samantha Jo Hawley Reeder, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1093178329
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57080 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(480) 500-2540
Fax
(623) 201-7954
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 57080 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

2601 E Roosevelt St
Phoenix, AZ 85008

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-5011

Other names 1

  • Ms. Samantha Jo Debold-Hawley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190621001980 AZ Practitioner - Emergency Medicine 7719211937 Reassigns benefits to 8 organizations
I20191114000297 TX Practitioner - Emergency Medicine 7719211937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147
  • Dignity Health - Arizona General Hospital Hospital, Laveen, AZ, CCN 030136

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57080AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Oct 1, 2022 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Apr 16, 2021 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 1, 2022 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 1, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Dec 6, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Ton Sells Hospital CurrentSince Sep 17, 2019 Accepting new patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Dec 6, 2022 Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

Interoperability endpoints

  • Direct secure messaging: sreeder123218@direct.valleywisehealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1093178329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "480-500-2540",
            "fax_number": "623-201-7954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85008",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "SAMANTHA",
        "middle_name": "JO HAWLEY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "57080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DEBOLD-HAWLEY",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.