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

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: October 25, 2026.

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

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.Insurance ›

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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Pabon-rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School
0.2 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
NPI 1750403887 (210) 567-3274
Community Medicine Associates
7.0 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 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..

Where is Samuel Pabon-rivera located?

Samuel Pabon-rivera practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

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.

Is Samuel Pabon-rivera enrolled in Medicare?

Yes. Samuel Pabon-rivera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Pabon-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Pabon-rivera reassigns Medicare benefits to 2 organizations: Uthscsa Dental School (San Antonio, TX) and Community Medicine Associates (San Antonio, TX). Each 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 Pabon-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Pabon-rivera accept?

Health plans from Blue Cross and Blue Shield of Texas list Samuel Pabon-rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Pabon-rivera was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.