MR. SAMUEL VARGAS C-AA
NPI 1740929348
Anesthesiologist Assistant in Saint Louis, MO

Active since June 01, 2022Accepts Medicare Assignment
615 S NEW BALLAS RD DEPT OF, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Samuel Vargas C-aa NPPES

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

MR. SAMUEL VARGAS C-AA (NPI 1740929348) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Missouri (PENDING) and active in the NPI registry since June 2022. He is affiliated with Northeast Georgia Medical Center, Inc and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740929348
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. SAMUEL VARGASCredential: C-AA
Location Address615 S NEW BALLAS RD DEPT OFSaint Louis, MO 63141-8221
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1740929348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MO · PENDING
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
615 S NEW BALLAS RD DEPT OF, Saint Louis, MO 63141

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

Mr. Samuel Vargas C-aa 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 ID8921483165
PECOS Enrollment IDI20230109001893

Medicare Billing Reassignments

2

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

Anesthesiology
1488 JESSE JEWELL PKWY SE, SUITE 100
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
Anesthesiology
1488 JESSE JEWELL PKWY SE, SUITE 100
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 166 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.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

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.

Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141

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 Vargas's NPI number?

The NPI number for Samuel Vargas is 1740929348. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Samuel Vargas located?

Samuel Vargas practices at 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141. The listed phone number is (636) 386-9224.

What is Samuel Vargas's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Samuel Vargas enrolled in Medicare?

Yes. Samuel Vargas 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 Vargas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Vargas reassigns Medicare benefits to 2 organizations: Ambulatory Anesthesia Of North Georgia, LLC (Gainesville, GA) and Anesthesia Associates Of Gainesville, LLC (Gainesville, GA). 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 Vargas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Vargas affiliated with any hospitals?

According to CMS data, Samuel Vargas is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Samuel Vargas was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.