Active NPI
Samara Elise Pollock, MD
- Dermatology Physician
- Philadelphia, PA
National Provider Identifier
1184201295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD489003
- Practice address
- 1516 Locust St
Philadelphia, PA 19102-4409 - Phone
- (215) 545-5459
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD489003 | PA | Primary |
Addresses
Primary practice location
1516 Locust St
Philadelphia, PA 19102-4409
Mailing address
1516 Locust St
Philadelphia, PA 19102-4409
Phone (843) 792-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904004602 | PA | Practitioner - Dermatology | 4880063817 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Boston University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ringpfeil Advanced Dermatology PC
Practice addresses (Care Compare)
569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (610) 525-5250
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 57 |
| Skin biopsy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringpfeil Advanced Dermatology PC | Dermatology | Current | Accepting new patients |
Locations
569 W Lancaster Ave
Haverford, PA 19041
Phone (610) 525-5250
1516 Locust St
Philadelphia, PA 19102
Phone (215) 545-5459
339 E Lancaster Ave
Wynnewood, PA 19096
Phone (610) 649-1391
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDCAA
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1184201295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 LOCUST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024409",
"telephone_number": "843-792-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 LOCUST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024409",
"telephone_number": "215-545-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "SAMARA",
"middle_name": "ELISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD489003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.