SAM MAIOCCO
NPI 1184513939
Anesthesiologist Assistant in Tampa, FL

Q: What is Sam Maiocco's NPI number?

The NPI number for Sam Maiocco is 1184513939. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Q: What is Sam Maiocco's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Maiocco was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 28, 2025Accepts Medicare Assignment

12902 USF MAGNOLIA DR, TAMPA, FL 33612(727) 433-3557 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sam Maiocco NPPES

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

SAM MAIOCCO (NPI 1184513939) is an individual anesthesiologist assistant in Tampa, Florida, licensed in Florida (AA1069) and active in the NPI registry since June 2025. The provider is a graduate of Other (2025).

NPPES Registry Identity

NPI1184513939

Entity TypeIndividual

Primary Taxonomy367H00000X

Provider Legal NameSAM MAIOCCO

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618

Phone(727) 433-3557

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 28, 2025

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1184513939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA1069

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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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

Sam Maiocco 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 ID9830698687

PECOS Enrollment IDI20250818004675

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.

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