NPIMap

Individual provider Active NPI

Samantha Kay Barbeito

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1891338257
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07661 Issued in MD
Practice address
163 Thomas Johnson Dr Ste H
Frederick, MD 21702-4673
Phone
(301) 694-9111
Fax
(301) 739-0402
NPI assigned
Oct 17, 2019
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 C07661 MD Primary

Addresses

Primary practice location

163 Thomas Johnson Dr Ste H
Frederick, MD 21702-4673

Mailing address

163 Thomas Johnson Dr Ste H
Frederick, MD 21702-4673
Phone (301) 694-9111

Other practice location 1

4940 Ford Fields Rd
Myersville, MD 21773-8702
Phone (240) 818-2570

Other practice location 2

620 W Lexington St
Baltimore, MD 21201
Phone (240) 818-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220308001000 VA Practitioner - Physician Assistant 1759792484 Reassigns benefits to 1 organization
I20240507001362 WV Practitioner - Physician Assistant 1759792484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

650 Cedar Creek Grade
Suite 100
Winchester, VA 22601-6453
Phone (540) 535-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C07661MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince May 20, 2024 Accepting new patients
University Hematology and Oncology CurrentSince May 20, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • FHIR API: https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/

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

Hospital & facility affiliations 5

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1891338257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024673",
            "telephone_number": "301-694-9111",
            "fax_number": "301-739-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024673",
            "telephone_number": "301-694-9111",
            "fax_number": "301-739-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Ford Fields Rd",
            "address_purpose": "LOCATION",
            "city": "Myersville",
            "state": "MD",
            "postal_code": "217738702",
            "country_code": "US",
            "telephone_number": "240-818-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W Lexington St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "240-818-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBEITO",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.