Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIYA LEONIDOVNA SAMOYLOVA M.D.
NPI 1649702283
Thoracic Surgery (Cardiothoracic Vascular Surgery) in San Francisco, CA

Q: What is Mariya Samoylova's NPI number?

The NPI number for Mariya Samoylova is 1649702283. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Q: What is Mariya Samoylova's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariya Samoylova was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since April 02, 2017PECOS Enrolled

1600 DIVISADERO ST FL 4, SAN FRANCISCO, CA 94143(415) 502-2199 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 18, 2026, Apr 2, 2017 (2 updates tracked since 2017).

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About Mariya Leonidovna Samoylova M.d. NPPES

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

MARIYA LEONIDOVNA SAMOYLOVA M.D. (NPI 1649702283) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in San Francisco, California, licensed in California (A211188) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1649702283

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameMARIYA LEONIDOVNA SAMOYLOVACredential: M.D.

Location Address1600 DIVISADERO ST FL 4San Francisco, CA 94143-3010

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(415) 502-2199

Sole ProprietorNo

Enumeration DateApril 2, 2017

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1649702283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A211188

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License A211188 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1600 DIVISADERO ST FL 4, San Francisco, CA 94143

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Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariya Leonidovna Samoylova M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

STACY FULLER BAECKER PA-C

Physician Assistant