SAMUEL L ROBINSON
NPI 1689442501
Physician Assistant - Medical in South Jordan, UT

Active since December 20, 2023PECOS Enrolled
661 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095(801) 302-2690(801) 302-2693 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Samuel L Robinson NPPES

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

SAMUEL L ROBINSON (NPI 1689442501) is an individual medical provider in South Jordan, Utah, licensed in Utah (14208626-1206) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689442501
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSAMUEL L ROBINSON
Location Address661 W SOUTH JORDAN PKWYSouth Jordan, UT 84095-8524
Mailing Address661 W South Jordan PkwySouth Jordan, UT 84095-8524 · (801) 302-2690 · Fax (801) 302-2693
Fax(801) 302-2693
Sole ProprietorNo
Enumeration DateDecember 20, 2023
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1689442501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 14208626-1206
661 W SOUTH JORDAN PKWY, South Jordan, UT 84095

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel L Robinson 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
661 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095
Physician Assistant
661 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095
Physician Assistant
661 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095

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 Robinson's NPI number?

The NPI number for Samuel Robinson is 1689442501. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Samuel Robinson located?

Samuel Robinson practices at 661 W South Jordan Pkwy, South Jordan, UT 84095. The listed phone number is (801) 302-2690.

What is Samuel Robinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Robinson enrolled in Medicare?

Yes. Samuel Robinson is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Robinson accept?

Health plans from University of Utah Health Plans list Samuel Robinson 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 Robinson was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.