Active NPI
Samuel S Newman, M.D.
- Surgery Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38079
- Practice address
- 20 Medical Village Dr
Edgewood, KY 41017 - Phone
- (859) 344-1600
- Fax
- (859) 344-0091
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 38079 | KY | |
| Surgery Physician | 208600000X | 38079 | KY | Primary |
Addresses
Primary practice location
20 Medical Village Dr
Edgewood, KY 41017
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-1600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00024477 | Other | RAILROAD MEDICARE | |
| 200446010 | Medicaid | IN | |
| P00024477 | Other | KY | RAILROAD MEDICARE |
| 09454052 | Other | KY | SES PHYS SERV KY MCR PTAN |
| 64026339 | Medicaid | KY | |
| 7100056850 | Medicaid | KY | |
| 2475254 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- West Virginia University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-5901
1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-8910
20 Medical Village Dr
Edgewood, KY 41017-5401
Phone (859) 578-5880
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-4625
580 S Loop Rd
Edgewood, KY 41017-3415
Phone (859) 344-1600
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 13 |
| Removal of tissue | 109 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38079 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Surgery | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Surgery | Current | Accepting new patients |
Locations
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
580 S Loop Rd
#201
Edgewood, KY 41017
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
8251 Pine Rd
Ste 220
Cincinnati, OH 45236
Phone (513) 246-4550
Interoperability endpoints
- snewman25542@direct-prd.stelizabeth.com
Organizations & group practices 4
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.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Surgery
-
dba St. Elizabeth Healthcare
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
Surgery
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1841265519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "SAMUEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "38079",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "38079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00024477",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200446010",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00024477",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SES PHYS SERV KY MCR PTAN",
"identifier": "09454052",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64026339",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100056850",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2475254",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.