SAMUEL ROBERT GARDNER
NPI 1477130573
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
11100 EUCLID AVE, CLEVELAND, OH 44106(866) 844-2273 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1477130573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ROBERT GARDNER
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address240 Miles RdChagrin Falls, OH 44022-3308 · (440) 409-8752
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1477130573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
11100 EUCLID AVE, Cleveland, OH 44106

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

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.

PECOS PAC ID4880188945
PECOS Enrollment IDI20251216001987
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.

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, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

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.

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
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.

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.