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SAMUEL ROSENBLATT M.D.
NPI 1104110188
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(267) 425-9331 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2022, Dec 11, 2021 (2 updates tracked since 2021).

About Samuel Rosenblatt M.d. NPPES

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

SAMUEL ROSENBLATT M.D. (NPI 1104110188) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD464004) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2011).

NPPES Registry Identity

NPI1104110188
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameSAMUEL ROSENBLATTCredential: M.D.
Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331
Phone(215) 590-1858
Fax(267) 425-9331
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1104110188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD464004
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License P9715 (TX)
3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104
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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 and accepts Medicare assignment

Samuel Rosenblatt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062767635
PECOS Enrollment IDI20180622000755
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.

RAJEEV SUBRAMANYAM IYER M.D.
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
DAVID HEHIR MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
DR. JUSTIN LAWRENCE LOCKMAN M.D.
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
ANDRIA RENAE JANOS CRNA
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
RICHARD MISSETT D.O.
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
HEATHER ANN WOLFE M.D
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
FELINA MILLE MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
ALICIA M ALCAMO M.D.
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858

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 Rosenblatt's NPI number?

The NPI number for Samuel Rosenblatt is 1104110188. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Samuel Rosenblatt located?

Samuel Rosenblatt practices at 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Samuel Rosenblatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Samuel Rosenblatt enrolled in Medicare?

Yes. Samuel Rosenblatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Rosenblatt was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.