Samantha Colosi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057786 Issued in PA

Practice address

1500 Walnut St Ste 1240
Philadelphia, PA 19102-3524

Phone

(267) 687-4437

NPI assigned

Oct 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen D Hess MD PCGroup PAC ID 4082854922, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.79 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

89.31

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Stephen D Hess MD PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1629415963
  Medicare reassignment Care Compare group
• Center City Dermatology LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1841522380
  NPD (past)

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1417328311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 1240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023524",
            "telephone_number": "267-687-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 1240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023524",
            "telephone_number": "267-687-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSI",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003613",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00377900",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared W Colon, MD
• Jasmine Colon
• Lexy Colon
• Liza Colon, CRNP
• Thalia Colon
• Douglas Colson, RN
• Asia Colter, PHD
• Caitlyn Marie Colucci, PA-C
• Michael Albert Colucciello, PA-C
• Marianne Colvin, D.O.

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.