DR. RAJEEV K SAMUEL (MD) – Anesthesiology Physician, NPI 1639437965

DR. RAJEEV K SAMUEL (MD) is a healthcare provider. based in Lowell, Arkansas. specializing in ANESTHESIOLOGY, HOSPITALIST, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. A128366 (CA). The NPI Number for DR. RAJEEV K SAMUEL (MD) is 1639437965

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJEEV K SAMUEL (MD)
NPI
1639437965
Phone
(888) 991-1101
Address
PO BOX 583
Enumeration Date
24 April 2012
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9164534545
Graduation Year
2012 (14 years ago)
PAC ID
6608143540
Group Practice PAC ID
3678897915
Professional Enrollment ID
I20170525001304
Address ID
CA958193626SA4001XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Provider Addresses for DR. RAJEEV K SAMUEL (MD)

  • PO BOX 583

    LOWELL, AR 727450583

    Phone: (888) 991-1101

    Fax: (903) 787-5854

    Type: Mailing

  • 11234 ANDERSON ST

    GME OFFICE CSP 21005

    LOMA LINDA, CA 923542804

    Phone: (909) 558-4015

    Type: Mailing

  • 3000 MEDICAL CENTER PKWY

    BENTONVILLE, AR 727123217

    Phone: (479) 553-1000

    Type: Location

  • 601 W MAPLE AVE STE 503

    SPRINGDALE, AR 727645376

    Phone: (479) 751-3722

    Fax: (479) 751-1099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($43).

Total Amount

$43

General + Research + Ownership

Payments

1

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170525001304IAnesthesiologyCATBD
I20220304000183IAnesthesiologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678897915View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
-CA
Certified Registered Nurse Anesthetist (Crna)MI
-FL
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Internal MedicineOR

Reviews

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Frequently asked questions

Can I cross-check DR. RAJEEV K SAMUEL (MD) using NPI 1639437965?
NPI 1639437965 belongs to DR. RAJEEV K SAMUEL (MD); compare other details if you need extra assurance.
Would DR. RAJEEV K SAMUEL (MD) appear as active to a payer?
You can treat DR. RAJEEV K SAMUEL (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. RAJEEV K SAMUEL (MD)?
DR. RAJEEV K SAMUEL (MD)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. RAJEEV K SAMUEL (MD) located near Lowell?
DR. RAJEEV K SAMUEL (MD) currently maps to Lowell, Arkansas in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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