SAMUEL WILSON KASKOVICH
NPI 1649910233
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST # MC0108, DENVER, CO 80204(303) 602-5193 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Wilson Kaskovich NPPES

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

SAMUEL WILSON KASKOVICH (NPI 1649910233) is an individual student in an organized health care education/training program in Denver, Colorado and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Steamboat Springs, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2022).

NPPES Registry Identity

NPI1649910233
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL WILSON KASKOVICH
Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4507
Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4507 · (303) 602-5193
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2022
Enumeration DateMarch 31, 2022
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1649910233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License DR.0075073 (CO)
777 BANNOCK ST # MC0108, Denver, CO 80204

Secondary Practice Location 1

Location 11024 Central Park DrSteamboat Springs, CO 80487-8813 · Phone (970) 879-1322 · Fax (970) 870-1223

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 Wilson Kaskovich 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 ID5597223016
PECOS Enrollment IDI20260814004196
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

3

Medicare enrollment records show Samuel Kaskovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
10065 E HARVARD AVE, STE 800
Denver, CO 80231
  • Reassigned Medicare billing, Colorado enrollment
  • 219 clinicians in this Medicare group
Multi-Specialty
1100 CENTRAL PARK DR STE 1000
Steamboat Springs, CO 80487
  • Reassigned Medicare billing, Colorado enrollment
  • 181 clinicians in this Medicare group
Multi-Specialty
2201 CURVE PLZ UNIT A-101
Steamboat Springs, CO 80487
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1063418424 (Colorado)
  • 74 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.

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.

Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204

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 Kaskovich's NPI number?

The NPI number for Samuel Kaskovich is 1649910233. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Samuel Kaskovich located?

Samuel Kaskovich practices at 777 Bannock St # Mc0108, Denver, CO 80204. The listed phone number is (303) 602-5193.

What is Samuel Kaskovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Kaskovich enrolled in Medicare?

Yes. Samuel Kaskovich 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 Kaskovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kaskovich reassigns Medicare benefits to 3 organizations: Carepoint Emergency Medicine, PLLC (Denver, CO), Yampa Valley Medical Center (Steamboat Springs, CO) and The Memorial Hospital (Steamboat Springs, CO). 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 Kaskovich'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 Samuel Kaskovich was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.