DR. SAMANTHA PULLIAM (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1841289824

DR. SAMANTHA PULLIAM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2016-02241 (NC). The NPI Number for DR. SAMANTHA PULLIAM (MD) is 1841289824

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA PULLIAM (MD)
NPI
1841289824
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
21 October 2005
Last Update Date
17 May 2019

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176365000
Graduation Year
1998 (28 years ago)
PAC ID
2264439751
Group Practice PAC ID
9638060254
Professional Enrollment ID
I20061025000560
Address ID
MA021111552BO800XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,605 OBSTETRICS/GYNECOLOGY in NC

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Provider Addresses for DR. SAMANTHA PULLIAM (MD)

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Fax: (617) 636-1465

    Type: Mailing

  • UNC Medical Center, 101, Manning Drive, Downtown, Chapel Hill, Orange County, North Carolina, 27514, United States

    UNC HOSPITALS

    CHAPEL HILL, NC 27514

    Phone: (919) 966-4717

    Fax: (984) 974-0499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: COLOPLAST CORP ($257).

Total Amount

$291

General + Research + Ownership

Payments

4

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2006-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061025000560IObstetrics/GynecologyMATBD

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 02111)

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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: 9638060254View full group profile
NameSpecialtyState
-MA
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SAMANTHA PULLIAM (MD)'s NPI?
Yes. DR. SAMANTHA PULLIAM (MD) is listed with NPI 1841289824 in the public NPI dataset.
Does CMS list DR. SAMANTHA PULLIAM (MD) as active?
Yes — DR. SAMANTHA PULLIAM (MD) is active in the NPI listing used on this page.
What is DR. SAMANTHA PULLIAM (MD)'s specialty?
The listing groups DR. SAMANTHA PULLIAM (MD) with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SAMANTHA PULLIAM (MD) based?
DR. SAMANTHA PULLIAM (MD) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does DR. SAMANTHA PULLIAM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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