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

Active since June 07, 2011PECOS Enrolled
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: October 25, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Rosenblatt M.d. 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 Reassignment

Medicare enrollment records show Samuel Rosenblatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Anesthesiology Associates, Ltd
Same address
Pain Medicine
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Anesthesiology Associates Ltd
  • 216 clinicians in this Medicare group
NPI 1215048491 (215) 590-1000

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

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 enrollment system.

Which organization bills Medicare for Samuel Rosenblatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Rosenblatt reassigns Medicare benefits to Children's Anesthesiology Associates, Ltd (Philadelphia, PA). 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 Samuel Rosenblatt'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 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.