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SAMUEL A GOTTLIEB
NPI 1255793865
Pediatrics in Baltimore, MD

Active since March 23, 2016PECOS Enrolled
1800 ORLEANS ST, BALTIMORE, MD 21287(410) 995-5000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Mar 23, 2016 (2 updates tracked since 2016).

About Samuel A Gottlieb NPPES

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

SAMUEL A GOTTLIEB (NPI 1255793865) is an individual pediatrics provider in Baltimore, Maryland, licensed in New Jersey (25MA12933300) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1255793865
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSAMUEL A GOTTLIEB
Location Address1800 ORLEANS STBaltimore, MD 21287-0010
Mailing Address3720 Mayfair Rd NeAtlanta, GA 30342-4532 · (404) 202-9148
Phone(410) 995-5000
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1255793865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA12933300✔ Licensed in PA · MD466777
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1800 ORLEANS ST, Baltimore, MD 21287
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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)

Samuel A Gottlieb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759672181
PECOS Enrollment IDI20260420002521
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 Gottlieb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Health Care Associates
87 mi
Pediatrics
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Health Care Associates Inc
  • 1,225 clinicians in this Medicare group
NPI 1619062668 (215) 590-1000
Children's Specialized Hospital
141 mi
Children
200 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1396886297 (732) 258-7000

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 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

KATHRYN ROSENBLATT M.D.
Anesthesiology
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-7461
DR. CARMEL BOGLE M.D.
Pediatrics
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (443) 287-0526
MIAN MOHAMMAD BILAL KHALID MD
Internal Medicine (Gastroenterology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
SPENCER WILSON
Surgery (Trauma Surgery)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 933-6423
EVAN FOX
Radiology (Neuroradiology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ADAM ROBERT BUSSELLS
Physician Assistant
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
DR. SARAH WALSER MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (484) 883-6433
LYNN DESROSIERS FNP-C
Nurse Practitioner (Family)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-2800

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 Gottlieb's NPI number?

The NPI number for Samuel Gottlieb is 1255793865. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Samuel Gottlieb located?

Samuel Gottlieb practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 995-5000.

What is Samuel Gottlieb's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Gottlieb enrolled in Medicare?

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

Which organizations bill Medicare for Samuel Gottlieb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gottlieb reassigns Medicare benefits to 2 organizations: Children's Health Care Associates (Philadelphia, PA) and Children's Specialized Hospital (New Brunswick, NJ). 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 Gottlieb'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 Samuel Gottlieb was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.