SAMUEL ARTHUR GUBBINS
NPI 1780470633
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Samuel Gubbins's NPI number?

The NPI number for Samuel Gubbins is 1780470633. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Q: What is Samuel Gubbins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Gubbins was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2025PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Arthur Gubbins NPPES

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

SAMUEL ARTHUR GUBBINS (NPI 1780470633) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780470633

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL ARTHUR GUBBINS

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1003 Lincolnshire DrChampaign, IL 61821-5607 · (217) 549-2412

Phone(314) 257-8000

Sole ProprietorNo

Enumeration DateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1780470633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1201 S GRAND BLVD, Saint Louis, MO 63104

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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 Arthur Gubbins 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.