DR. SAMUEL PABON-RIVERA M.D.
NPI 1194269555
Pediatrics - Pediatric Hematology-Oncology in San Antonio, TX

Q: What is Samuel Pabon-rivera's NPI number?

The NPI number for Samuel Pabon-rivera is 1194269555. It was assigned to this individual provider in the NPPES registry on December 5, 2016. The provider is also known as Dr. Samuel Pabon-Rivera M.D..

Q: What is Samuel Pabon-rivera's specialty?

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

Active since December 05, 2016PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Sep 6, 2023, Mar 3, 2023 and 2 more (5 updates tracked since 2017).

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About Dr. Samuel Pabon-rivera M.d. NPPES

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

DR. SAMUEL PABON-RIVERA M.D. (NPI 1194269555) is an individual pediatric hematology-oncology provider in San Antonio, Texas, licensed in Texas (U1987) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Trujillo Alto.

NPPES Registry Identity

NPI1194269555

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. SAMUEL PABON-RIVERACredential: M.D.

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-5909 · Fax (210) 358-5940

Phone(210) 358-4000

Sole ProprietorNo

Enumeration DateDecember 5, 2016

Last NPPES UpdateJune 26, 20245 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1194269555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · U1987

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 14345 (PR)

4502 MEDICAL DR, San Antonio, TX 78229

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Other Names 1

Former Name (1)Dr. Samuel Pabon-rivera M.d.

Secondary Practice Location 1

Location 1P3 Calle D-Oeste, Ciudad UniversitariaTrujillo Alto, PR 00976 · Phone (787) 248-6575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

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. Samuel Pabon-rivera 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.

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)