Active NPI
Samantha McPeck, MD
- Student in an Organized Health Care Education/Training Program
- Hartford, CT
National Provider Identifier
1578183455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1000 Asylum Ave RM 1004
Hartford, CT 06105-1701 - Phone
- (860) 714-4532
- Fax
- (860) 714-8275
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1000 Asylum Ave RM 1004
Hartford, CT 06105-1701
Mailing address
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samantha.mcpeck@upmcdirect.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients | |
| Upmc Magee-Womens Hospital | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
1000 Asylum Ave
Rm 1004
Hartford, CT 06105
Phone (860) 714-4532
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1538127741
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1952311508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1578183455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-2147",
"fax_number": "860-679-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE RM 1004",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051701",
"telephone_number": "860-714-4532",
"fax_number": "860-714-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPECK",
"first_name": "SAMANTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2024-08-09",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samantha.mcpeck@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.