DR. SAMANTHA ANNE (M.D.) – Pediatric Otolaryngology Physician, NPI 1609089374

DR. SAMANTHA ANNE (M.D.) is a healthcare provider. based in Cleveland, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. TRAINING (OH). The NPI Number for DR. SAMANTHA ANNE (M.D.) is 1609089374

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA ANNE (M.D.)
NPI
1609089374
Phone
Not provided
Address
9500 EUCLID AVE # A71
Enumeration Date
8 May 2007
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4587739297
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20080814000575
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

537 OTOLARYNGOLOGY in OH

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Provider Addresses for DR. SAMANTHA ANNE (M.D.)

  • Euclid Avenue, Midtown, Asiatown, Cleveland, Cuyahoga County, Ohio, 44103, United States

    CLEVELAND, OH 441952538

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $5,708.

Total Amount is formed as General ($5,708) + Research ($0) + Ownership ($0) = $5,708.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Eli Lilly and Company ($3,868).

Total Amount

$5,708

General + Research + Ownership

Payments

21

Total payment records

General Amount

$5,708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2008-08-14

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
I20080814000575IOtolaryngologyOHTBD

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 44195)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is DR. SAMANTHA ANNE (M.D.)'s NPI number?
DR. SAMANTHA ANNE (M.D.)'s NPI is 1609089374 — the number used across U.S. healthcare to identify this provider.
Would DR. SAMANTHA ANNE (M.D.) appear as active to a payer?
You can treat DR. SAMANTHA ANNE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. SAMANTHA ANNE (M.D.)?
DR. SAMANTHA ANNE (M.D.) is associated with Pediatric Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SAMANTHA ANNE (M.D.)?
Travel planning: use Cleveland, Ohio as the reference point for DR. SAMANTHA ANNE (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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