SAMANTHA IBARRA TO MD
NPI 1396504585
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Samantha To's NPI number?

The NPI number for Samantha To is 1396504585. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Samantha To's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha To was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

1438 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2777(314) 617-2779 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Ibarra To Md NPPES

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

SAMANTHA IBARRA TO MD (NPI 1396504585) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396504585

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA IBARRA TOCredential: MD

Location Address1438 S GRAND BLVDSaint Louis, MO 63104-1027

Mailing Address1438 S Grand BlvdSaint Louis, MO 63104-1027 · (314) 617-2777 · Fax (314) 617-2779

Phone(314) 617-2777

Fax(314) 617-2779

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1396504585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1438 S GRAND BLVD, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ibarra To Md 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.

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. STEVEN ROBERT BRENNER M.D.

Psychiatry & Neurology (Neurology)

1438 S GRAND BLVD, ST. LOUIS UNIVERSITY, DEPT. NEUROLOGY & PSYCHIATRY
SAINT LOUIS, MO 63104

St. Louis City (314) 977-6082

DR. ARSHAD BHATT M.D.

Student in an Organized Health Care Education/Training Program