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DR. MAUTISUM SAMANA MD
NPI 1013841998
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since June 09, 2026PECOS Enrolled
4590 NASH WAY, SAINT LOUIS, MO 63110(314) 747-3000 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mautisum Samana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAUTISUM SAMANA MD (NPI 1013841998) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013841998
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MAUTISUM SAMANACredential: MD
Location Address4590 NASH WAYSaint Louis, MO 63110-1020
Mailing Address4590 Nash WaySaint Louis, MO 63110-1020
Phone(314) 747-3000
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1013841998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4590 NASH WAY, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mautisum Samana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AWAB HUSSAIN AHMAD MD
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 840-6092
MICHAEL COOK CUSUMANO MD
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7353
ERIN LEEANNE MAYEUX MD
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 840-6100
DR. CAMERON FRANCIS RUBINO MD
Student in an Organized Health Care Education/Training Program
4590 NASH WAY, MAILSTOP: 90-29-928
ST LOUIS, MO 63110
St. Louis City (314) 362-1930
HONGNAN XU
Pathology (Clinical Pathology)
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1935
GHANDI HASSAN MD
Internal Medicine
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8087
KELLY BRAUNE SCHASCHL MD
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1930
SARAH CHALLONER ROMANS MD
Orthopaedic Surgery
4590 NASH WAY
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mautisum Samana's NPI number?

The NPI number for Mautisum Samana is 1013841998. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Mautisum Samana located?

Mautisum Samana practices at 4590 Nash Way, Saint Louis, MO 63110. The listed phone number is (314) 747-3000.

What is Mautisum Samana's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mautisum Samana enrolled in Medicare?

Yes. Mautisum Samana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mautisum Samana was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.