SAMUEL ELIAS GRIFFIN
NPI 1053161588
Student in an Organized Health Care Education/Training Program in Richmond, IN

Active since March 26, 2024PECOS Enrolled
1100 REID PKWY, RICHMOND, IN 47374(765) 935-8988 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Elias Griffin NPPES

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

SAMUEL ELIAS GRIFFIN (NPI 1053161588) is an individual student in an organized health care education/training program in Richmond, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053161588
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ELIAS GRIFFIN
Location Address1100 REID PKWYRichmond, IN 47374-1157
Mailing Address1808 County Road 18Waterloo, IN 46793-9474 · (260) 573-8334
Sole ProprietorNo
Enumeration DateMarch 26, 2024
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
NPI 1053161588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1100 REID PKWY, Richmond, IN 47374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Elias Griffin 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.

Internal Medicine
1100 REID PKWY
RICHMOND, IN 47374
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Internal Medicine (Cardiovascular Disease)
1100 REID PKWY, SUITE 210
RICHMOND, IN 47374
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Family Medicine
1100 REID PKWY
RICHMOND, IN 47374
Specialist/Technologist (Athletic Trainer)
1100 REID PKWY
RICHMOND, IN 47374

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 Samuel Griffin's NPI number?

The NPI number for Samuel Griffin is 1053161588. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Samuel Griffin located?

Samuel Griffin practices at 1100 Reid Pkwy, Richmond, IN 47374. The listed phone number is (765) 935-8988.

What is Samuel Griffin's specialty?

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

Is Samuel Griffin enrolled in Medicare?

Yes. Samuel Griffin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Griffin was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.