MR. SAMSON OLAITAN MD
NPI 1245409135
Student in an Organized Health Care Education/Training Program in Batesville, AR

Active since February 25, 2008PECOS EnrolledAccepts Medicare Assignment
1993 HARRISON ST STE 302, BATESVILLE, AR 72501(870) 793-2540 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samson Olaitan Md NPPES

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

MR. SAMSON OLAITAN MD (NPI 1245409135) is an individual student in an organized health care education/training program in Batesville, Arkansas and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Batesville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245409135
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMSON OLAITANCredential: MD
Location Address1993 HARRISON ST STE 302Batesville, AR 72501-7309
Mailing Address1993 Harrison StBatesville, AR 72501-7309 · (870) 793-2540
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2008
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1245409135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License E-19944 (AR)
Also ListedPhysician AssistantTaxonomy 363A00000X · License C0003400 (MD)
1993 HARRISON ST STE 302, Batesville, AR 72501

Secondary Practice Location 1

Location 11175 Vine StBatesville, AR 72501-3526 · Phone (870) 793-4600 · Fax (870) 793-4608

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

Mr. Samson Olaitan Md 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 ID8628140100
PECOS Enrollment IDI20260218001585
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.

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 Samson Olaitan's NPI number?

The NPI number for Samson Olaitan is 1245409135. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Samson Olaitan located?

Samson Olaitan practices at 1993 Harrison St Ste 302, Batesville, AR 72501. The listed phone number is (870) 793-2540.

What is Samson Olaitan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samson Olaitan enrolled in Medicare?

Yes. Samson Olaitan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samson Olaitan was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.