1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Pediatrics
  6. NPI Profile

DR. JUAN CARLOS SAMAYOA ESCOBAR M.D.
NPI 1629411970
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, Aug 30, 2022, Oct 21, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Juan Carlos Samayoa Escobar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN CARLOS SAMAYOA ESCOBAR M.D. (NPI 1629411970) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (72902) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1629411970
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JUAN CARLOS SAMAYOA ESCOBARCredential: M.D.
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Phone(612) 672-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 16, 2013
Last NPPES UpdateDecember 15, 20225 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1629411970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in MN · 72902✔ Licensed in WA · MD61213463
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Secondary Practice Location 1

Location 14800 Sand Point Way NESeattle, WA 98105-3901 · Phone (206) 987-2000

Other Identifiers 1

Medicaid1629411970WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan, Sanford Health Plan.Insurance ›

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

Dr. Juan Carlos Samayoa Escobar M.d. 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 ID8123319860
PECOS Enrollment IDI20221123001024
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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Juan Samayoa Escobar's NPI number?

The NPI number for Juan Samayoa Escobar is 1629411970. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Juan Samayoa Escobar located?

Juan Samayoa Escobar practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Juan Samayoa Escobar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Juan Samayoa Escobar enrolled in Medicare?

Yes. Juan Samayoa Escobar 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.

What insurance does Juan Samayoa Escobar accept?

Health plans from Medica, Providence Health Plan and Sanford Health Plan list Juan Samayoa Escobar 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 Juan Samayoa Escobar affiliated with any hospitals?

According to CMS data, Juan Samayoa Escobar is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Juan Samayoa Escobar was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.