Individual provider Active NPI

Samantha Anne Demauro-Jablonski, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cranberry Township, PA
National Provider Identifier
1750395596
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD434276 Issued in PA
Practice address
20397 Route 19
Suite 330
Cranberry Township, PA 16066-6133
Phone
(724) 941-7490
Fax
(724) 941-5231
NPI assigned
Jul 28, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD434276 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD434276 PA Primary

Addresses

Primary practice location

20397 Route 19
Suite 330
Cranberry Township, PA 16066-6133

Mailing address

20397 Route 19
Suite 330
Cranberry Township, PA 16066-6133
Phone (724) 941-7490

Other identifiers 1

IdentifierTypeStateIssuer
102167464MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000507 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 3476557794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc CurrentSince Feb 1, 2017 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

79 Wagner Rd
Ste 201
Monaca, PA 15061
Phone (724) 773-8981

Interoperability endpoints

  • Direct secure messaging: samanthademauro-jablonski@hvhs.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1750395596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19",
            "address_2": "SUITE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19",
            "address_2": "SUITE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAURO-JABLONSKI",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD434276",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD434276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102167464",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.