SAMUEL ANTHONY JOHN TABACCHI DO
NPI 1366905721
Emergency Medicine in Williamsburg, VA
About Samuel Anthony John Tabacchi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL ANTHONY JOHN TABACCHI DO (NPI 1366905721) is an individual emergency medicine provider in Williamsburg, Virginia, licensed in Virginia (0102207205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains a secondary practice location in Buffalo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Anthony John Tabacchi Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Tabacchi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williamsburg, VA 23185
- Reassigned Medicare billing, Virginia enrollment
- 1,097 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Regional Medical Center
Acute Care Hospitals · Newport News, VARiverside Doctors' Hospital Of Williamsburg
Acute Care Hospitals · Williamsburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23185 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIAMSBURG, VA 23185
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 Tabacchi's NPI number?
The NPI number for Samuel Tabacchi is 1366905721. It was assigned to this individual provider in the NPPES registry on April 11, 2019.
Where is Samuel Tabacchi located?
Samuel Tabacchi practices at 1500 Commonwealth Ave, Williamsburg, VA 23185. The listed phone number is (757) 585-2000.
What is Samuel Tabacchi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Tabacchi enrolled in Medicare?
Yes. Samuel Tabacchi 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.
Which organization bills Medicare for Samuel Tabacchi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tabacchi reassigns Medicare benefits to Riverside Physician Services Inc (Williamsburg, VA). 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 Samuel Tabacchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Tabacchi affiliated with any hospitals?
According to CMS data, Samuel Tabacchi is affiliated with Riverside Regional Medical Center and Riverside Doctors' Hospital Of Williamsburg.
When was this NPI record last updated?
The NPPES record for Samuel Tabacchi was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samuel Anthony John Tabacchi, DO · NPI 1366905721
Emergency Medicine physician in Williamsburg, Virginia. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1366905721 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0102207205 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 COMMONWEALTH AVE, Williamsburg, VA 23185-5229
- **Phone:** (757) 585-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside Physician Services Inc (NPI 1639418429, Williamsburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Virginia Campus, class of 2019
## Record status
- **NPPES last updated:** August 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366905721) · Data from the CMS NPPES public registry.