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SAMANTHA RIBEIRO MD
NPI 1689294712
Emergency Medicine - Pediatric Emergency Medicine in Syracuse, NY

Active since April 18, 2020PECOS Enrolled
4900 BROAD ROAD, SYRACUSE, NY 13215(315) 492-5437(315) 492-5502 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Apr 18, 2020 (2 updates tracked since 2020).

About Samantha Ribeiro Md NPPES

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

SAMANTHA RIBEIRO MD (NPI 1689294712) is an individual pediatric emergency medicine provider in Syracuse, New York, licensed in New York (323809) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689294712
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameSAMANTHA RIBEIROCredential: MD
Location Address4900 BROAD ROADSyracuse, NY 13215-2265
Mailing Address4900 Broad RoadSyracuse, NY 13215-2265 · (315) 492-5437 · Fax (315) 492-5502
Phone(315) 492-5437
Fax(315) 492-5502
Sole ProprietorNo
Enumeration DateApril 18, 2020
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2020
✔ NPI 1689294712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in NY · 323809
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
4900 BROAD ROAD, Syracuse, NY 13215
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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 (PECOS)

Samantha Ribeiro Md 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.

Medicare Billing Reassignments

2

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

Upstate Emergency Medicine, Inc
2.8 mi
Emergency Medicine
750 E. ADAMS ST.
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1275589582 (315) 464-4363
Physicians Medical Associates New York PC
3.4 mi
Emergency Medicine
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1073386421 (315) 448-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 16

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

ANCY ALEXANDER DO
Pediatrics (Pediatric Emergency Medicine)
4900 BROAD ROAD, 1ST FL
SYRACUSE, NY 13215
Onondaga County (315) 492-5437
CHERYL DUMOND-MARTINEZ MD
Pediatrics
4900 BROAD ROAD, STE 1D SOUTH
SYRACUSE, NY 13215
Onondaga County (315) 464-8224
JULIA SCHMUTZ MD
Family Medicine
4900 BROAD ROAD, STE 3M-NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-3400
DR. MARISSA M SMITH MD
Pediatrics
4900 BROAD ROAD
SYRACUSE, NY 13215
Onondaga County (315) 492-5437
DR. DANIEL CHARLES THOMAS MD
Surgery (Surgical Oncology)
4900 BROAD ROAD, SUITE 2B, NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-5036
ANTHONY MICHAEL STIRPE PA
Physician Assistant
4900 BROAD ROAD
SYRACUSE, NY 13215
Onondaga County (315) 492-5535
KRISTINA M GO M.D.
Surgery
4900 BROAD ROAD, STE 2B NORTH
SYRACUSE, NY 13215
Onondaga County (315) 492-5036
DR. SCOTT V WIENER MD
Urology
4900 BROAD ROAD, SUITE 4V
SYRACUSE, NY 13215
Onondaga County (315) 492-3700

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 Ribeiro's NPI number?

The NPI number for Samantha Ribeiro is 1689294712. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Samantha Ribeiro located?

Samantha Ribeiro practices at 4900 Broad Road, Syracuse, NY 13215. The listed phone number is (315) 492-5437.

What is Samantha Ribeiro's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Samantha Ribeiro enrolled in Medicare?

Yes. Samantha Ribeiro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Ribeiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ribeiro reassigns Medicare benefits to 2 organizations: Upstate Emergency Medicine, Inc (Syracuse, NY) and Physicians Medical Associates New York PC (Syracuse, NY). 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 Ribeiro'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 Ribeiro was last updated on November 16, 2023. 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.