Samantha Jo Angelo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA058717 Issued in PA

Practice address

310 Rodi Rd Ste 140
Pittsburgh, PA 15235-3318

Phone

(412) 371-6414

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Jo Gronlund Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Premier Medical Associates PC

  • Internal Medicine Physician
  • Monroeville, PA
  • NPI 1447281092
  Medicare reassignment NPD
• Premier Medical Associates, PC

  • Clinical Medical Laboratory
  • Monroeville, PA
  • NPI 1851634752
  NPD
• Kids Plus Pediatrics

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1942526314
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1336684133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEGHENY CTR STE 530",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125404",
            "fax_number": "412-371-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RODI RD STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353318",
            "telephone_number": "412-371-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GRONLUND",
            "middle_name": "JO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justina Angeline, CRNP
• Whitney Angelini
• Florence Faye Angelo
• Holly H Angelo, PT, DPT
• Sahil Angelo, MD
• Clarissa Angelopoulos
• Angels of Care by TLM, LLC
• Kacie Angely, CRNP
• Anger & Counseling Institute of Pittsburgh, Inc.
• Marissa Anne Angino

• Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.

Verify at the official NPI Registry.