DR. SAMUEL FARRELL (MD) – Internal Medicine Physician, NPI 1043742570

DR. SAMUEL FARRELL (MD) is a healthcare provider. based in Travis afb, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101266361 (VA). The NPI Number for DR. SAMUEL FARRELL (MD) is 1043742570

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL FARRELL (MD)
NPI
1043742570
Phone
(707) 423-3000
Address
101 BODIN CIR
Enumeration Date
3 April 2017
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9709251120
Graduation Year
2017 (9 years ago)
PAC ID
0840616975
Group Practice PAC ID
9234123266
Professional Enrollment ID
I20250314001891
Address ID
CO816111159AS401XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

21,508 INTERNAL MEDICINE in CA

Provider Addresses for DR. SAMUEL FARRELL (MD)

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-3000

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    MCHE-ZDM-M, IM RESIDENCY, JBSA-FORT SAM HOUSTON

    SAN ANTONIO, TX 782344504

    Phone: (210) 292-5077

    Fax: (210) 292-7868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-06

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: 2025-08-05

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
I20250314001891IInternal MedicineCOTBD
I20250805004085IInternal MedicineVATBD

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 94535)

Loading plans...

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: 9234123266View full group profile
NameSpecialtyState
Hematology, Hematology/OncologyGA
Nuclear Medicine, Cardiovascular Disease (Cardiology)CO
O T O L A R Y N G O L O G YMI
Emergency MedicineCO
-CO
Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CO
General SurgeryCO
Internal MedicineME
Physician AssistantCO
Emergency MedicineNH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. SAMUEL FARRELL (MD)?
The federal identifier for DR. SAMUEL FARRELL (MD) is NPI 1043742570.
Is DR. SAMUEL FARRELL (MD) currently active in the NPI registry?
CMS-published data lists DR. SAMUEL FARRELL (MD) as an active registrant.
Does DR. SAMUEL FARRELL (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. SAMUEL FARRELL (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SAMUEL FARRELL (MD)?
The snapshot lists Travis Afb, California for DR. SAMUEL FARRELL (MD); download NPPES for the complete set.
What if Travis Afb, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. PAUL L DANDREA (M.D.)

Internal Medicine Physician
101 BODIN CIR
NPI: 1750381109

DR. DANIEL LAMAR (M.D.)

Internal Medicine Physician
60 MDG/CD
NPI: 1952383523

DR. MICHAEL ROY JR. KOTELES (M.D.)

Endocrinology, Diabetes & Metabolism Physician
101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
NPI: 1093799959
101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
NPI: 1285619197

MICHELLE SIT (MD)

Rheumatology Physician
1010 NUT TREE RD STE 100A
NPI: 1740269513

ROBERT CHRISTOPHER MARSHALL (MD)

Internal Medicine Physician
60 MDOS/SGOMI
NPI: 1265412746

DAVID GRANT MEDICAL CENTER

Internal Medicine Physician
4758, Belford Peak Court, Antioch, Contra Costa County, California, 94531, United States
NPI: 1063481232

DR. CHRISTOPHER JUSTIN DENNIS (D.O.)

Internal Medicine Physician
101 BODIN CIRCLE
NPI: 1780611723

DR. ANTONIO JOSE DELGADO (M.D.)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
NPI: 1578594040