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DR. WILSON ANDRES VASCONEZ SAMANIEGO MD
NPI 1164926002
Pediatrics - Pediatric Hematology-Oncology in Baltimore, MD

Active since March 23, 2018PECOS Enrolled
1800 ORLEANS ST RM 11379, BALTIMORE, MD 21287(410) 614-5055(410) 955-0028 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2025, Jul 5, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About Dr. Wilson Andres Vasconez Samaniego Md NPPES

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

DR. WILSON ANDRES VASCONEZ SAMANIEGO MD (NPI 1164926002) is an individual pediatric hematology-oncology provider in Baltimore, Maryland, licensed in Arizona (74412) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1164926002
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. WILSON ANDRES VASCONEZ SAMANIEGOCredential: MD
Location Address1800 ORLEANS ST RM 11379Baltimore, MD 21287-0010
Mailing Address1800 Orleans St Rm 11379Baltimore, MD 21287-0010 · (410) 614-5055 · Fax (410) 955-0028
Phone(410) 614-5055
Fax(410) 955-0028
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1164926002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in AZ · 74412
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1800 ORLEANS ST RM 11379, Baltimore, MD 21287
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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilson Andres Vasconez Samaniego Md 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN LIGON M.D.
Pediatrics (Pediatric Hematology-Oncology)
1800 ORLEANS ST RM 11379
BALTIMORE, MD 21287
Baltimore City (410) 955-8751
KRISTEN E SCHRATZ M.D.
Pediatrics (Pediatric Hematology-Oncology)
1800 ORLEANS ST RM 11379
BALTIMORE, MD 21287
Baltimore City (410) 955-8751

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 Wilson Vasconez Samaniego's NPI number?

The NPI number for Wilson Vasconez Samaniego is 1164926002. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Wilson Vasconez Samaniego located?

Wilson Vasconez Samaniego practices at 1800 Orleans St Rm 11379, Baltimore, MD 21287. The listed phone number is (410) 614-5055.

What is Wilson Vasconez Samaniego's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Wilson Vasconez Samaniego enrolled in Medicare?

Yes. Wilson Vasconez Samaniego is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wilson Vasconez Samaniego was last updated on March 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.