NPIMap

Individual provider Active NPI

Robin Samaddar, M.D.

  • Emergency Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1235181249
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
31503 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
May 17, 2006
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 31503 AZ Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 31503 AZ

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

PO Box 2808
Scottsdale, AZ 85252-2808
Phone (480) 882-4809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsamaddar395545@ehrdirect.mayoclinicmsg.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040522000047 AZ Practitioner - Emergency Medicine 2264423730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31503AZMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine Current Accepting new patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 17, 2015 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 17, 2015 Accepting new patients
Honorhealth Emergency Medicine Current Accepting new patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Oct 7, 2024 Accepting new patients
Chandler Emergency Medical Group, LLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients
Ingenuity Medical Group LLC Emergency Medicine Past Accepting new patients
Empower Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1235181249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852522808",
            "telephone_number": "480-882-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADDAR",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "31503",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "31503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsamaddar395545@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.