SAMUEL L. ZUCKERMAN (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1831156595
Pediatric Critical Care Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMUEL L. ZUCKERMAN (M.D.)
315 N SAN SABA STE 1135
SAN ANTONIO, TX 782073255
Phone: (210) 737-4928
Fax: (210) 704-4520
Type: Mailing
315 N San Saba Ste 1135
San Antonio, TX 782073255
Phone: (210) 737-4928
Fax: (210) 704-4520
Type: Location
1400 S Coulter St
Amarillo, TX 791061786
Phone: (806) 414-9800
Fax: (806) 354-5689
Type: Location
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
Phone: (210) 737-4928
Type: Mailing
MOUNTAIN NEONATOLOGY LLC
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
Phone: (602) 346-7013
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: 2005-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051216000474 | I | Critical Care (Intensivists) | TX | TBD |
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.
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 78207)
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