ANITA MARY SAMUEL MD, MBA
NPI 1215788427
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Q: What is Anita Samuel's NPI number?

The NPI number for Anita Samuel is 1215788427. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Anita Samuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Anita Samuel was last updated on October 21, 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 March 27, 2024PECOS Enrolled

501 CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 583-2500 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Anita Mary Samuel Md, Mba NPPES

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

ANITA MARY SAMUEL MD, MBA (NPI 1215788427) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (14243583-1205) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1215788427

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameANITA MARY SAMUELCredential: MD, MBA

Location Address501 CHIPETA WAYSalt Lake City, UT 84108

Mailing Address501 S Chipeta WaySalt Lake City, UT 84108-1222 · (801) 583-2500

Phone(801) 583-2500

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024

Enumeration DateMarch 27, 2024

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1215788427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in UT · 14243583-1205

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

501 CHIPETA WAY, Salt Lake City, UT 84108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita Mary Samuel Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557851896

PECOS Enrollment IDI20260714002518

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 Reassignment

Medicare enrollment records show Anita Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Idaho State University

149 mi

Physical Therapist

1400 E. TERRY, GARRISON BLDG. 63 #202
Pocatello, ID 83209

Reassigned Medicare billing, Idaho enrollment
45 clinicians in this Medicare group

NPI 1356491187 (208) 282-2590

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DANIEL D CHRISTENSEN M.D.

Psychiatry & Neurology (Psychiatry)

501 CHIPETA WAY
SLC, UT 84108

Salt Lake County (801) 587-3122

CRAIG M ARAMAKI PHARMACIST

Pharmacist

501 CHIPETA WAY
SLC, UT 84108

Salt Lake County (801) 587-3200

NEUROSTIMULATION SERVICES

Psychiatry & Neurology (Neuromuscular Medicine)

501 CHIPETA WAY
SALT LAKE CITY, UT 84108

Salt Lake County (801) 585-1575

THOMAS GERARD CONOVER M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

501 CHIPETA WAY
SALT LAKE CITY, UT 84108

Salt Lake County (801) 587-3123

ALEXA MARIA MALAND PHARM.D

Pharmacist

501 CHIPETA WAY
SALT LAKE CITY, UT 84108

Salt Lake County (801) 587-3200

ROXANNE BARTEL M.D.

Psychiatry & Neurology (Psychiatry)

501 CHIPETA WAY
SALT LAKE CITY, UT 84108

Salt Lake County (801) 585-1575

PROF. MICHAEL READ FORDHAM PHD

Psychologist

501 CHIPETA WAY, SUITE 1250
SALT LAKE CITY, UT 84108

Salt Lake County (801) 587-3208

MR. ROSS ALLEN VANVRANKEN JR. ACSW

Social Worker (Clinical)

501 CHIPETA WAY
SALT LAKE CITY, UT 84108

Salt Lake County (801) 587-3113

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 Anita Samuel's NPI number?

The NPI number for Anita Samuel is 1215788427. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Anita Samuel located?

Anita Samuel practices at 501 Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 583-2500.

What is Anita Samuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anita Samuel enrolled in Medicare?

Yes. Anita Samuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anita Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Samuel reassigns Medicare benefits to Idaho State University (Pocatello, ID). The 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 Anita Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anita Samuel was last updated on October 21, 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.