Individual provider Active NPI

Samuel A Amill-Acosta, M.D., FCCP

  • Pulmonary Disease Physician
  • Manati, PR
National Provider Identifier
1801898309
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
6112 Issued in PR
Practice address
E36 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622
Phone
(787) 884-4478
Fax
(787) 884-4495
NPI assigned
Aug 15, 2005
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 6112 PR Primary

Addresses

Primary practice location

E36 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622

Mailing address

E36 Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-4622
Phone (787) 884-4478

Other identifiers 3

IdentifierTypeStateIssuer
6112OtherPRPHYSICIAN LICENSE
AA1366485OtherPRFEDERAL NARCOTICS LICENSE
05947DM7OtherPRPR NARCOTICS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20040217000180 PR Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 8729973045 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Calle Hernandez Carrion
Suite 4204
Manati, PR 00674-4688
Phone (787) 884-4477

E36 Calle Hernandez Carrion
Manati, PR 00674-4622

Urb Atenas
E36 Hernandez Carrion
Manati, PR 00674-4688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6112PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorios del Sueno de Puerto Rico CurrentSince Nov 7, 2024 Accepting new patients
Laboratorios del Sueno de Puerto Rico CurrentSince Jul 15, 2024 Accepting new patients
La Vida Medical Group Hatillo Corp Pulmonary Disease Past Accepting new patients
La Vida Medical Group Hatillo Corp Past Accepting new patients
Grupo Oftalmologia HMLN Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samuel.amill.acosta@89149933158404.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1801898309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E36 CALLE HERNANDEZ CARRION",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-884-4478",
            "fax_number": "787-884-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E36 CALLE HERNANDEZ CARRION",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-884-4478",
            "fax_number": "787-884-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMILL-ACOSTA",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "M.D., FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "6112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "6112",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL NARCOTICS LICENSE",
            "identifier": "AA1366485",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR NARCOTICS LICENSE",
            "identifier": "05947DM7",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.