SAMANTHA LOUISE JACKSON-DILTS M.D.
NPI 1821256801
Pediatrics in Annapolis, MD

Q: What is Samantha Jackson-dilts's NPI number?

The NPI number for Samantha Jackson-dilts is 1821256801. It was assigned to this individual provider in the NPPES registry on May 27, 2008. The provider is also known as Dr. Samantha Louise Jackson M.D..

Q: What is Samantha Jackson-dilts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 27, 2008PECOS Enrolled

2301A FOREST DR, ANNAPOLIS, MD 21401(410) 266-6767(410) 266-6761 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2022, Nov 17, 2021 (2 updates tracked since 2021).

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About Samantha Louise Jackson-dilts M.d. NPPES

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

SAMANTHA LOUISE JACKSON-DILTS M.D. (NPI 1821256801) is an individual pediatrics provider in Annapolis, Maryland, licensed in Maryland (D78881) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1821256801

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSAMANTHA LOUISE JACKSON-DILTSCredential: M.D.

Location Address2301A FOREST DRAnnapolis, MD 21401-3833

Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 207-7851 · Fax (516) 207-7851

Phone(410) 266-6767

Fax(410) 266-6761

Sole ProprietorNo

Enumeration DateMay 27, 2008

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1821256801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MD · D78881✔ Licensed in TN · 61798✔ Licensed in GA · 002952✔ Licensed in VA · 0101269251

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2301A FOREST DR, Annapolis, MD 21401

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Other Names 1

Professional Name (2)Dr. Samantha Louise Jackson M.d.

Secondary Practice Location 1

Location 16358 Springfield PlzSpringfield, VA 22150-3431 · Phone (703) 644-5437 · Fax (703) 644-6767

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Louise Jackson-dilts M.d. 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 Reassignment

Medicare enrollment records show Samantha Jackson-dilts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mep Health, LLC

36 mi

Emergency Medicine

9901 MEDICAL CENTER DR
Rockville, MD 20850

Reassigned Medicare billing, Maryland enrollment
301 clinicians in this Medicare group

NPI 1164483558 (330) 493-4443

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 21401 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 2

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

KRYSTAL GUE CPNP-AC

Nurse Practitioner (Pediatrics)

2301A FOREST DR
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-6767

CHRISTINA JOHNS MD

Pediatrics (Pediatric Emergency Medicine)

2301A FOREST DR
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-6767

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 Jackson-dilts's NPI number?

The NPI number for Samantha Jackson-dilts is 1821256801. It was assigned to this individual provider in the NPPES registry on May 27, 2008. The provider is also known as Dr. Samantha Louise Jackson M.D..

Where is Samantha Jackson-dilts located?

Samantha Jackson-dilts practices at 2301A Forest Dr, Annapolis, MD 21401. The listed phone number is (410) 266-6767.

What is Samantha Jackson-dilts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Jackson-dilts enrolled in Medicare?

Yes. Samantha Jackson-dilts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Jackson-dilts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jackson-dilts reassigns Medicare benefits to Mep Health, LLC (Rockville, MD). The 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 Jackson-dilts'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 Jackson-dilts was last updated on February 16, 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.