SAMUEL CLAY FOUNTAIN MD
NPI 1609456961
Internal Medicine in Denver, CO
About Samuel Clay Fountain Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CLAY FOUNTAIN MD (NPI 1609456961) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (DR.0073041) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Massachusetts Medical School (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Clay Fountain Md 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 Samuel Fountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80230
- Reassigned Medicare billing, Colorado enrollment
- 4,283 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80230
DENVER, CO 80230
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 Fountain's NPI number?
The NPI number for Samuel Fountain is 1609456961. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Samuel Fountain located?
Samuel Fountain practices at 8111 E Lowry Blvd, Denver, CO 80230. The listed phone number is (720) 848-0000.
What is Samuel Fountain's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samuel Fountain enrolled in Medicare?
Yes. Samuel Fountain 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 Samuel Fountain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Fountain reassigns Medicare benefits to University Physicians Incorporated (Denver, CO). 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 Samuel Fountain'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 Fountain was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Clay Fountain, MD · NPI 1609456961
Internal Medicine physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1609456961 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DR.0073041 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 8111 E LOWRY BLVD, Denver, CO 80230-7255
- **Phone:** (720) 848-0000
## 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:** University Physicians Incorporated (NPI 1104284694, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2021
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609456961) · Data from the CMS NPPES public registry.