Individual provider Active NPI

Samantha Rawlins, PHYSICIAN

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1487875449
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
119424 Issued in FL
Practice address
1650 Grand Concourse
5TH FL.OBGYN Administration
Bronx, NY 10457-7606
Phone
(718) 239-8383
Fax
(718) 239-8360
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 119424 FL Primary

Addresses

Primary practice location

1650 Grand Concourse
5TH FL.OBGYN Administration
Bronx, NY 10457-7606

Mailing address

4045 Wickham Ave
Bronx, NY 10466-2232
Phone (718) 239-8383

Other identifiers 1

IdentifierTypeStateIssuer
2472342MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806000735 FL Practitioner - Obstetrics/Gynecology 7810986221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1800 SE Tiffany Ave
St Lucie Med Ctr
Port St Lucie, FL 34952-7521
Phone (772) 335-4000

1815 S Kanner Hwy
Stuart, FL 34994-7204
Phone (772) 288-2992

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5535
Phone (772) 288-2992

2815 S Seacrest Blvd
Suite 112
Boynton Beach, FL 33435-7531
Phone (561) 737-7733

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001890NYMDRegistered Dietitian
119424FLMDObstetrics & Gynecology Physician

Practice roles (9 of 11)

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Obstetrics & Gynecology CurrentSince Feb 10, 2015 Accepting new patients
Florida Community Health Centers Inc Obstetrics & Gynecology CurrentSince Feb 10, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 28, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 28, 2019 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Dec 13, 2016 Accepting new patients
Womencare PA Past Accepting new patients
Advanced OB-GYN Associates, LLC Obstetrics & Gynecology PastSince Jan 1, 1999 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1304 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (561) 489-6636

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 286-9400

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000

1815 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: samantha.rawlins.1@2183.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1487875449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WICKHAM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662232",
            "telephone_number": "718-239-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "5TH FL.OBGYN ADMINISTRATION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-239-8383",
            "fax_number": "718-239-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "119424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.