NPIMap

Individual provider Active NPI

Christopher J Samuel, MD

  • Anesthesiology Physician
  • Everett, PA
National Provider Identifier
1992798219
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0088742 Issued in MD
Practice address
10455 Lincoln Hwy
Everett, PA 15537-7046
Phone
(814) 623-3524
Fax
(814) 624-0646
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD062329L PA
Anesthesiology Physician 207L00000X D0088742 MD Primary

Addresses

Primary practice location

10455 Lincoln Hwy
Everett, PA 15537-7046

Mailing address

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other identifiers 1

IdentifierTypeStateIssuer
0016540450004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051012000874 PA Practitioner - Anesthesiology 8527083195 Reassigns benefits to 3 organizations
I20200213000217 MD Practitioner - Anesthesiology 8527083195 Reassigns benefits to 1 organization
I20250212002144 SC Practitioner - Anesthesiology 8527083195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, shared by 9 NPIs, 1,353 clinicians
Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088742MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Jul 20, 2025 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC Anesthesiology CurrentSince Apr 25, 2022 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 12, 2011 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Dec 9, 2024 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 12, 2011 Accepting new patients
Mon Vale Clinical Professionals, Inc. Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Mon Vale Clinical Professionals, Inc. CurrentSince Mar 1, 2021 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Jan 16, 2020 Accepting new patients
Mon-Vale Radiation Oncology, Inc. Past Accepting new patients
Mon-Vale Primary Care, Inc. Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12234 Williams Rd SE
Lavale, MD 21502
Phone (301) 723-4172

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 11

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 7

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1992798219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-623-3524",
            "fax_number": "814-624-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD062329L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0088742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016540450004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.