DR. RUTH TADESSE SAMSON MD
NPI 1083243752
Surgery in Bronx, NY
About Dr. Ruth Tadesse Samson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUTH TADESSE SAMSON MD (NPI 1083243752) is an individual surgery provider in Bronx, New York, licensed in New York (337251-01) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ruth Tadesse Samson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ruth Samson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ruth Samson's NPI number?
The NPI number for Ruth Samson is 1083243752. It was assigned to this individual provider in the NPPES registry on April 5, 2020.
Where is Ruth Samson located?
Ruth Samson practices at 1250 Waters Pl Ph 7, Bronx, NY 10461. The listed phone number is (844) 273-2786.
What is Ruth Samson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Ruth Samson enrolled in Medicare?
Yes. Ruth Samson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ruth Samson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Samson reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Ruth Samson'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 Ruth Samson was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Ruth Tadesse Samson, MD · NPI 1083243752
Surgery physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 5, 2020.
## Identity
- **NPI:** 1083243752 (Entity type: Individual)
- **Enumerated:** April 5, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 337251-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 WATERS PL PH 7, Bronx, NY 10461-2731
- **Phone:** (844) 273-2786
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Montefiore Medical Center (NPI 1063525152, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083243752) · Data from the CMS NPPES public registry.