STEVEN D. SAMPLE JR. CRNA
NPI 1639610330
Anesthesiology - Critical Care Medicine in Orlando, FL
About Steven D. Sample Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEVEN D. SAMPLE JR. CRNA (NPI 1639610330) is an individual critical care medicine provider in Orlando, Florida, licensed in Georgia (220350) and active in the NPI registry since March 2017. He is affiliated with Emory University Hospital Midtown and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Steven D. Sample Jr. Crna 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
3Medicare enrollment records show Steven Sample reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dade City, FL 33525
- Reassigned Medicare billing, Florida enrollment
- 1,287 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORLANDO, FL 32801
ORLANDO, FL 32801
ORLANDO, FL 32801
ORLANDO, FL 32801
ORLANDO, FL 32801
ORLANDO, FL 32801
ORLANDO, FL 32801
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 Steven Sample's NPI number?
The NPI number for Steven Sample is 1639610330. It was assigned to this individual provider in the NPPES registry on March 14, 2017.
Where is Steven Sample located?
Steven Sample practices at 225 E Robinson St Suite 130, Orlando, FL 32801. The listed phone number is (407) 581-9180.
What is Steven Sample's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.
Is Steven Sample enrolled in Medicare?
Yes. Steven Sample 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 Steven Sample's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Sample reassigns Medicare benefits to 3 organizations: Gulf-To-Bay Anesthesiology Associates LLC (Dade City, FL), Emory Specialty Associates, LLC (Lagrange, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Steven Sample's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Sample accept?
Health plans from Oscar Health list Steven Sample 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 Steven Sample affiliated with any hospitals?
According to CMS data, Steven Sample is affiliated with Emory University Hospital Midtown.
When was this NPI record last updated?
The NPPES record for Steven Sample was last updated on February 24, 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.
# Steven D. Sample Jr., CRNA · NPI 1639610330
Critical Care Medicine physician in Orlando, Florida. Individual provider, active in the CMS NPPES registry since March 14, 2017.
## Identity
- **NPI:** 1639610330 (Entity type: Individual)
- **Enumerated:** March 14, 2017
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** 220350 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 E ROBINSON ST, SUITE 130, Orlando, FL 32801-4322
- **Phone:** (407) 581-9180 · **Fax:** (865) 560-7066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gulf-To-Bay Anesthesiology Associates LLC (NPI 1982932562, Dade City, FL); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639610330) · Data from the CMS NPPES public registry.