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SAMANTHA WEISS DO
NPI 1043956816
Student in an Organized Health Care Education/Training Program in Allentown, PA

Active since May 05, 2022PECOS Enrolled
400 N. 17TH STREET, SUITE 300, ALLENTOWN, PA 18104(610) 969-3500(610) 969-3605 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Weiss Do NPPES

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

SAMANTHA WEISS DO (NPI 1043956816) is an individual student in an organized health care education/training program in Allentown, Pennsylvania, licensed in Pennsylvania (HS000009L) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1043956816
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA WEISSCredential: DO
Location Address400 N. 17TH STREET, SUITE 300Allentown, PA 18104
Mailing Address400 N. 17th Street, Suite 300Allentown, PA 18104 · (610) 969-3500
Phone(610) 969-3500
Fax(610) 969-3605
Sole ProprietorYes
Enumeration DateMay 5, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1043956816 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
License✔ Licensed in PA · HS000009L
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.
400 N. 17TH STREET, Allentown, PA 18104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 S Cedar Crest BlvdAllentown, PA 18103 · Phone (610) 402-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Weiss Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Weiss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Mental Health (Including Community Mental Health Center)
401 N 17TH ST STE 203
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1285276865 (610) 969-2319
University Primary Care Practices Inc
281 mi
Family Medicine
167F W MAIN RD
Conneaut, OH 44030
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1679602882 (330) 599-7466

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samantha Weiss's NPI number?

The NPI number for Samantha Weiss is 1043956816. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Samantha Weiss located?

Samantha Weiss practices at 400 N. 17th Street Suite 300, Allentown, PA 18104. The listed phone number is (610) 969-3500.

What is Samantha Weiss's specialty?

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

Is Samantha Weiss enrolled in Medicare?

Yes. Samantha Weiss is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Weiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Weiss reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Allentown, PA) and University Primary Care Practices Inc (Conneaut, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Weiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Weiss was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.