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DR. SAMANTHA LYNN AHLE M.D.
NPI 1649682956
Surgery - Pediatric Surgery in Providence, RI

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905(401) 421-1939(401) 868-2319 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2023, Jun 25, 2021 (2 updates tracked since 2021).

About Dr. Samantha Lynn Ahle M.d. NPPES

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

DR. SAMANTHA LYNN AHLE M.D. (NPI 1649682956) is an individual pediatric surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1649682956
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. SAMANTHA LYNN AHLECredential: M.D.
Location Address2 DUDLEY ST STE 190Providence, RI 02905-3248
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 421-1939
Fax(401) 868-2319
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateMay 21, 2014
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1649682956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in RI · MD
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2 DUDLEY ST STE 190, Providence, RI 02905
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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

Dr. Samantha Lynn Ahle 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 ID4688994825
PECOS Enrollment IDI20230808002766
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Ahle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
2.0 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
University Surgical Associates, Inc.
16 mi
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
NPI 1376589895 (401) 272-1800

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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN LEIGH KLIMM PA-C
Physician Assistant (Surgical)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
KELSEY VAN HOUSEN PA-C
Physician Assistant
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
CARL-CHRISTIAN ANDREW JACKSON MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0623
ARTUR CHERNOGUZ MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
JOSHUA NATHANAEL HONEYMAN M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
DR. JULIE MONTEAGUDO M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0580
MAKAYLA LOURENCO NP
Nurse Practitioner (Pediatrics)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
DR. PETER KIM MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 553-8341

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 Ahle's NPI number?

The NPI number for Samantha Ahle is 1649682956. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Samantha Ahle located?

Samantha Ahle practices at 2 Dudley St Ste 190, Providence, RI 02905. The listed phone number is (401) 421-1939.

What is Samantha Ahle's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Samantha Ahle enrolled in Medicare?

Yes. Samantha Ahle 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 Samantha Ahle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ahle reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and University Surgical Associates, Inc. (Providence, RI). 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 Samantha Ahle'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 Ahle was last updated on February 13, 2023. 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.