SAMANTHA ROBERTS
NPI 1154021558
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 06, 2023PECOS Enrolled
1009 S WOOD ST, CHICAGO, IL 60612(312) 996-2279 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Roberts NPPES

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

SAMANTHA ROBERTS (NPI 1154021558) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154021558
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA ROBERTS
Location Address1009 S WOOD STChicago, IL 60612-3747
Mailing Address4015 Promenade Blvd Apt 37Beavercreek, OH 45431-2380
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateJanuary 26, 2025
NPPES CertifiedJanuary 26, 2025
NPI 1154021558 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.
1009 S WOOD ST, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Roberts 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.

Urology
1009 S WOOD ST
CHICAGO, IL 60612
Otolaryngology
1009 S WOOD ST
CHICAGO, IL 60612
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Ophthalmology
1009 S WOOD ST
CHICAGO, IL 60612
Speech-Language Pathologist
1009 S WOOD ST
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
1009 S WOOD ST
CHICAGO, IL 60612

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 Samantha Roberts's NPI number?

The NPI number for Samantha Roberts is 1154021558. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Samantha Roberts located?

Samantha Roberts practices at 1009 S Wood St, Chicago, IL 60612. The listed phone number is (312) 996-2279.

What is Samantha Roberts's specialty?

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

Is Samantha Roberts enrolled in Medicare?

Yes. Samantha Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Roberts was last updated on January 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.