Individual provider Active NPI

Samantha Marie Naples, PA-C

  • Physician Assistant
  • Media, PA
National Provider Identifier
1750868543
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
53 W Baltimore Pike Ste 100
Media, PA 19063-5641
Phone
(610) 565-2100
Fax
(610) 892-0626
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

53 W Baltimore Pike Ste 100
Media, PA 19063-5641

Mailing address

207 N Broad St FL 3
Philadelphia, PA 19107-1500
Phone (610) 565-2100

Other practice location 1

1 Bartol Ave Ste 10
Ridley Park, PA 19078-2214
Phone (610) 521-0150

Other practice location 2

760 W Sproul Rd Ste 200
Springfield, PA 19064-4005
Phone (484) 386-6300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001739 PA Practitioner - Physician Assistant 6002168655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1750868543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "610-565-2100",
            "fax_number": "610-892-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W BALTIMORE PIKE STE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635641",
            "telephone_number": "610-565-2100",
            "fax_number": "610-892-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bartol Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ridley Park",
            "state": "PA",
            "postal_code": "190782214",
            "country_code": "US",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 W Sproul Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190644005",
            "country_code": "US",
            "telephone_number": "484-386-6300",
            "fax_number": "484-380-3178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPLES",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.