DR. SAMANTHA ALEXANDRA VERGANO (MD) – Pediatrics Physician, NPI 1013168673

DR. SAMANTHA ALEXANDRA VERGANO (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 61507346 (WA). The NPI Number for DR. SAMANTHA ALEXANDRA VERGANO (MD) is 1013168673

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA ALEXANDRA VERGANO (MD)
NPI
1013168673
Phone
(973) 879-0576
Address
1052 N SHORE RD
Enumeration Date
1 October 2008
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7576687200
Graduation Year
2006 (20 years ago)
PAC ID
5092963397
Group Practice PAC ID
5890788764
Professional Enrollment ID
I20120911000615
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Provider Addresses for DR. SAMANTHA ALEXANDRA VERGANO (MD)

  • 1052, North Shore Road, Algonquin Park, Norfolk, Virginia, 23505, United States

    NORFOLK, VA 235053155

    Phone: (973) 879-0576

    Type: Mailing

  • PO BOX 5371

    SEATTLE, WA 981455005

    Phone: (206) 987-2000

    Type: Mailing

  • 4800 SAND POINT WAY NE

    SEATTLE, WA 981053901

    Phone: (206) 987-2000

    Type: Location

  • 601, Childrens Lane, Norfolk, Virginia, 23507, United States

    DIVISION OF MEDICAL GENETICS AND METABOLISM

    NORFOLK, VA 235071910

    Phone: (757) 668-9723

    Fax: (757) 668-9724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-11

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
I20120911000615IPediatric MedicineVATBD
I20240611002190IPediatric MedicineWATBD

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 23505)

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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: 5890788764View full group profile
NameSpecialtyState
Pediatric Medicine, Hematology/OncologyMD
-VA
Physician AssistantVA
-VA
Pediatric Medicine, Hematology/OncologyVA
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)VA
Emergency Medicine, Pediatric MedicineVA
Pediatric Medicine, Cardiovascular Disease (Cardiology)VA
-MD
Hospice/Palliative CareVA

Reviews

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Frequently asked questions

Is DR. SAMANTHA ALEXANDRA VERGANO (MD) listed with a National Provider Identifier?
Yes — DR. SAMANTHA ALEXANDRA VERGANO (MD) has NPI 1013168673 on file in the registry.
Is there an active status for DR. SAMANTHA ALEXANDRA VERGANO (MD)?
For scheduling context, DR. SAMANTHA ALEXANDRA VERGANO (MD) is shown as active in the registry.
How would a patient describe DR. SAMANTHA ALEXANDRA VERGANO (MD)'s focus?
For DR. SAMANTHA ALEXANDRA VERGANO (MD), the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. SAMANTHA ALEXANDRA VERGANO (MD) registered?
Use Norfolk, Virginia as the headline location for DR. SAMANTHA ALEXANDRA VERGANO (MD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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