Individual provider Active NPI

Samantha M Rossi

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1104474162
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
123 Everett Rd
Albany, NY 12205-1407
Phone
(518) 701-2085
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

123 Everett Rd
Albany, NY 12205-1407

Mailing address

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2085

Other names 1

  • Samantha Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000255 NY Practitioner - Physician Assistant 4587096763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany ENT and Allergy Services PCGroup PAC ID 3678551736, 46 clinicians

Practice addresses (Care Compare)

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
84.34
Promoting interoperability
99
Improvement activities
40
Cost
75.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024023NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physician Assistant Current Accepting new patients
Albany Medical College CurrentSince Oct 7, 2019 Accepting new patients
Albany Medical College Physician Assistant CurrentSince Aug 18, 2021 Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients
Albany Medical College CurrentSince Oct 7, 2019 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

1769 Union St
Ste 1
Schenectady, NY 12309
Phone (518) 264-4733

11835 State Route 9W
#166
West Coxsackie, NY 12192

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: samantha.phillips.p1@direct.aent.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1104474162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PHILLIPS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.