MR. SAMUEL THOMAS RUNFOLA MSPT, OCS
NPI 1528168481
Physical Therapist - Orthopedic in Baltimore, MD
About Mr. Samuel Thomas Runfola Mspt, Ocs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL THOMAS RUNFOLA MSPT, OCS (NPI 1528168481) is an individual orthopedic provider in Baltimore, Maryland, licensed in Maryland (18310) and active in the NPI registry since September 2006. He is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Samuel Thomas Runfola Mspt, Ocs 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 Runfola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middle River, MD 21220
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Lifebridge Sports Medicine And Rehabilitation LLC
- 27 clinicians in this Medicare group
Baltimore, MD 21230
- Reassigned Medicare billing, Maryland enrollment
- 3 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.
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.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Runfola's NPI number?
The NPI number for Samuel Runfola is 1528168481. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Samuel Runfola located?
Samuel Runfola practices at 4924 Campbell Blvd Suite 130-A, Baltimore, MD 21236. The listed phone number is (443) 442-2050.
What is Samuel Runfola's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Samuel Runfola enrolled in Medicare?
Yes. Samuel Runfola 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 Runfola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Runfola reassigns Medicare benefits to 2 organizations: Lifebridge Sports Medicine & Rehabilitation LLC (Middle River, MD) and Fine, Bryant & Wah, Inc. (Baltimore, MD). 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 Runfola'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 Runfola was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Samuel Thomas Runfola, MSPT, OCS · NPI 1528168481
Orthopedic provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1528168481 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 18310 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BLVD, SUITE 130-A, Baltimore, MD 21236-5908
- **Phone:** (443) 442-2050 · **Fax:** (443) 442-2054
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifebridge Sports Medicine & Rehabilitation LLC (NPI 1114215399, Middle River, MD); Fine, Bryant & Wah, Inc. (NPI 1821606583, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** August 20, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1528168481) · Data from the CMS NPPES public registry.