DR. SAMUEL ELHARDT HAGER DO
NPI 1104402767
Neuromusculoskeletal Medicine & OMM in Englewood, CO
About Dr. Samuel Elhardt Hager Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL ELHARDT HAGER DO (NPI 1104402767) is an individual neuromusculoskeletal medicine & omm provider in Englewood, Colorado, licensed in Colorado (DR.0070052) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samuel Elhardt Hager Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Hager reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, CO 80112
- Reassigned Medicare billing, Colorado enrollment
- 14 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.
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 Hager's NPI number?
The NPI number for Samuel Hager is 1104402767. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Samuel Hager located?
Samuel Hager practices at 8401 S Chambers Rd # A-11, Englewood, CO 80112. The listed phone number is (720) 874-2420.
What is Samuel Hager's specialty?
The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
Is Samuel Hager enrolled in Medicare?
Yes. Samuel Hager is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Hager's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hager reassigns Medicare benefits to Rocky Vista Health Center LLC (Englewood, CO). 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 Hager'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 Hager was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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. Samuel Elhardt Hager, DO · NPI 1104402767
Neuromusculoskeletal Medicine & OMM physician in Englewood, Colorado. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1104402767 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Neuromusculoskeletal Medicine & OMM · taxonomy 204D00000X
- **State license:** DR.0070052 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 8401 S CHAMBERS RD # A-11, Englewood, CO 80112-3276
- **Phone:** (720) 874-2420
## 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:** Rocky Vista Health Center LLC (NPI 1366606709, Englewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104402767) · Data from the CMS NPPES public registry.