SAMUEL ROBERT GARDNER
NPI 1477130573
Student in an Organized Health Care Education/Training Program in Cleveland, OH
About Samuel Robert Gardner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL ROBERT GARDNER (NPI 1477130573) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Robert Gardner 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 Reassignments
2Medicare enrollment records show Samuel Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uh Regional Hospitals
Acute Care Hospitals · Chardon, OHLake Health
Acute Care Hospitals · Concord, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHUniversity Hospitals Ahuja Medical Center
Acute Care Hospitals · Beachwood, OHOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Gardner's NPI number?
The NPI number for Samuel Gardner is 1477130573. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Samuel Gardner located?
Samuel Gardner practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (866) 844-2273.
What is Samuel Gardner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Gardner enrolled in Medicare?
Yes. Samuel Gardner 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 organizations bill Medicare for Samuel Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gardner reassigns Medicare benefits to 2 organizations: University Primary Care Practices Inc (Cleveland, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Gardner accept?
Health plans from CareSource list Samuel Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samuel Gardner affiliated with any hospitals?
According to CMS data, Samuel Gardner is affiliated with Uh Regional Hospitals, Lake Health, Uh Cleveland Medical Center and University Hospitals Ahuja Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Gardner was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Robert Gardner · NPI 1477130573
Student in an Organized Health Care Education/Training Program provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1477130573 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (866) 844-2273
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Primary Care Practices Inc (NPI 1255500971, Cleveland, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477130573) · Data from the CMS NPPES public registry.