Samuel C Pan, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

61141 Issued in CT

Practice address

160 Robbins St Ste 2
Waterbury, CT 06708-2652

Phone

(203) 756-8021

Fax

(203) 596-9038

NPI assigned

May 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score

88.1 of 100Reported as group

Quality

77.19

Promoting interoperability

98

Improvement activities

40

Cost

79.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuelpan@amggw.allscriptsdirect.net

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.

• Reading Hospital

  • Radiation Oncology Physician
  • West Reading, PA
  • NPI 1992387518
  Medicare reassignment Care Compare group NPD
• Reading Hospital

  • Internal Medicine Physician
  • West Reading, PA
  • NPI 1003175043
  NPD
• Reading Hospital

  • Community/Retail Pharmacy
  • Limerick, PA
  • NPI 1487468914
  NPD
• Pottstown Hospital, LLC

  • Radiation Oncology Physician
  • Pottstown, PA
  • NPI 1669983011
  NPD (past)

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

• Reading Hospital

  • Cardiovascular Disease Physician
  • West Reading, PA
  • NPI 1407570880

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1467007112
  Care Compare affiliation
• Reading Hospital

  • Gynecologic Oncology Physician
  • West Reading, PA
  • NPI 1528677192

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1669530069
  Care Compare affiliation
• Reading Hospital

  • Hematology & Oncology Physician
  • West Reading, PA
  • NPI 1699384016

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Mobile Mammography Clinic/Center
  • West Reading, PA
  • NPI 1982349650

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1871728741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROBBINS ST STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082652",
            "telephone_number": "203-756-8021",
            "fax_number": "203-596-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROBBINS ST STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082652",
            "telephone_number": "203-756-8021",
            "fax_number": "203-596-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A120617",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "61141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Palmer
• Kelly Lynn Palmer, OTR
• Maureen Elizabeth Palmer, LCSW
• Ryder Romar Vincent Palumbo
• Pam Health at Waterbury LLC
• Melissa Pang
• Linda Panikowski, OTR/L, CHT
• Lia Faye Pankake
• Alexandra Panyukova, MD
• Lisa Danielle Paolini, LMSW

• Infectious Disease Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Infectious Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.

Verify at the official NPI Registry.