SAMANTHA MICHELLE DAVIDSON
NPI 1558823567
Student in an Organized Health Care Education/Training Program in Cleveland, OH
About Samantha Michelle Davidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MICHELLE DAVIDSON (NPI 1558823567) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).
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
Samantha Michelle Davidson 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 Samantha Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60616
- Reassigned Medicare billing, Illinois enrollment
- 2,127 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.
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 Samantha Davidson's NPI number?
The NPI number for Samantha Davidson is 1558823567. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Samantha Davidson located?
Samantha Davidson practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-5437.
What is Samantha Davidson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Davidson enrolled in Medicare?
Yes. Samantha Davidson 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 Samantha Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Davidson reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Samantha Davidson'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 Samantha Davidson was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Samantha Michelle Davidson · NPI 1558823567
Student in an Organized Health Care Education/Training Program provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1558823567 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **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:** (216) 844-5437
## 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:** The Board Of Trustees Of The University Of Illinois (NPI 1295751220, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** April 1, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1558823567) · Data from the CMS NPPES public registry.