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SAMUEL RICHARDSON DO
NPI 1649808312
Emergency Medicine in Las Vegas, NV

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128(702) 962-9551 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Jul 27, 2023, Mar 30, 2020 (3 updates tracked since 2020).

About Samuel Richardson Do NPPES

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

SAMUEL RICHARDSON DO (NPI 1649808312) is an individual emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3495) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649808312
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMUEL RICHARDSONCredential: DO
Location Address3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATIONLas Vegas, NV 89128-0431
Mailing Address3100 N. Tenaya Way, Graduate Medical EducationLas Vegas, NV 89128-0431 · (702) 962-9551
Phone(702) 962-9551
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1649808312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · DO3495✔ Licensed in AZ · 010323
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3100 N. TENAYA WAY, Las Vegas, NV 89128
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Other Identifiers 1

OtherD06098084AZ · State Issued Driver's License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Samuel Richardson Do 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 ID2466878038
PECOS Enrollment IDI20230808002449
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 Samuel Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Professional Services, PC
216 mi
Emergency Medicine
501 N NAVAJO DR
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • 199 clinicians in this Medicare group
NPI 1104151786 (480) 421-9700
Emergency Group Of Arizona Professional Corporation
258 mi
Emergency Medicine
2000 W BETHANY HOME RD
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 260 clinicians in this Medicare group
NPI 1215275433 (925) 924-1600

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
197 services191 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services119 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
90 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
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 17

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

SARA JARATANIAN MD
Student in an Organized Health Care Education/Training Program
3100 N. TENAYA WAY
LAS VEGAS, NV 89128
Clark County (323) 790-9338
DR. ABDUL GADER GHERIANI
Internal Medicine (Gastroenterology)
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (571) 306-9133
ALLISON TURPEN
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9551
JACKSON HOEKSTRA
Student in an Organized Health Care Education/Training Program
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9549
KIMBALL CHARLES KAUFMAN IV DO
Internal Medicine
3100 N. TENAYA WAY, ATTN: GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9549
GREGORY YIM
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9551
ROBERT WILLIAM DE MONTE III
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-5000
DR. DWYER PATRICK ROCHE DO
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9551

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 Richardson's NPI number?

The NPI number for Samuel Richardson is 1649808312. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Samuel Richardson located?

Samuel Richardson practices at 3100 N. Tenaya Way Graduate Medical Education, Las Vegas, NV 89128. The listed phone number is (702) 962-9551.

What is Samuel Richardson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Richardson enrolled in Medicare?

Yes. Samuel Richardson 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 Samuel Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Richardson reassigns Medicare benefits to 2 organizations: Emergency Professional Services, PC (Page, AZ) and Emergency Group Of Arizona Professional Corporation (Phoenix, AZ). 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 Samuel Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Richardson accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Samuel Richardson 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.

When was this NPI record last updated?

The NPPES record for Samuel Richardson was last updated on April 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.