Active NPI
Samuel Pabon-Rivera, M.D.
- Pediatric Hematology & Oncology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- U1987
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- NPI assigned
- Dec 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14345 | PR | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | U1987 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5909
Other practice location 1
P3 Calle D-Oeste
Ciudad Universitaria
Trujillo Alto, PR 00976
Phone (787) 248-6575
Other names 1
- Dr. Samuel Pabon-Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14345 | PR | MD | Pediatrics Physician |
| U1987 | TX | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPR Pediatric & Aya Hematology-Oncology Partners LLC | Pediatric Hematology-Oncology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Pediatrics | Current | Accepting new patients |
| Community Medicine Associates | Pediatrics | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Departamento de Salud Oficial | Past | Accepting new patients | |
| Pain Management Specialists | Past | Accepting new patients |
Locations
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
8435 Wurzbach Rd
Ste 305
San Antonio, TX 78229
Phone (210) 450-9800
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
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.
-
dba University Medicine Associates
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Pediatrics
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Pediatrics
-
- Pediatric Hematology & Oncology Physician
- San Juan, PR
- NPI 1194560631
Pediatric Hematology-Oncology
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
dba Medical Practice
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
-
dba Hospital Pediatrico Universitario
- Children's Hospital
- Rio Piedras, PR
- NPI 1174678460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1194269555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W MARTIN ST # MS 49-2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "210-358-5909",
"fax_number": "210-358-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000"
}
],
"practiceLocations": [
{
"address_1": "P3 Calle D-Oeste",
"address_2": "Ciudad Universitaria",
"address_purpose": "LOCATION",
"city": "Trujillo Alto",
"state": "PR",
"postal_code": "00976",
"country_code": "US",
"telephone_number": "787-248-6575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PABON-RIVERA",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-05",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "14345",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "U1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMUEL",
"last_name": "PABON-RIVERA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.