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SAMUEL L. ZUCKERMAN M.D.
NPI 1831156595
Pediatrics - Pediatric Critical Care Medicine in Idaho Falls, ID

Active since April 27, 2006PECOS Enrolled
MOUNTAIN NEONATOLOGY LLC, 3100 CHANNING WAY, IDAHO FALLS, ID 83404(602) 346-7013 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2020, Apr 2, 2019 (2 updates tracked since 2019).

About Samuel L. Zuckerman M.d. NPPES

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

SAMUEL L. ZUCKERMAN M.D. (NPI 1831156595) is an individual pediatric critical care medicine provider in Idaho Falls, Idaho, licensed in Idaho (M-15488) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831156595
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameSAMUEL L. ZUCKERMANCredential: M.D.
Location AddressMOUNTAIN NEONATOLOGY LLC, 3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (210) 737-4928
Phone(602) 346-7013
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1831156595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in ID · M-15488✔ Licensed in TX · J9854
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License J9854 (TX)
MOUNTAIN NEONATOLOGY LLC, Idaho Falls, ID 83404
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Secondary Practice Locations 2

Location 11400 S Coulter StAmarillo, TX 79106-1786 · Phone (806) 414-9800 · Fax (806) 354-5689
Location 2315 N San Saba Ste 1135San Antonio, TX 78207-3255 · Phone (210) 737-4928 · Fax (210) 704-4520

Other Identifiers 5

Medicaid132776911TX
Medicaid200102900 AOH
Medicaid132776912TX
Medicaid132776910TX
Medicaid33787336NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel L. Zuckerman 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 Reassignments

4

Medicare enrollment records show Samuel Zuckerman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Tech University Health Sciences Center Amarillo
782 mi
Family Medicine
1400 S COULTER ST
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1013942150 (806) 414-9559
Bsa Physicians Group Inc
783 mi
Internal Medicine
1600 WALLACE BLVD
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 151 clinicians in this Medicare group
NPI 1457696916 (806) 212-6965
Baylor College Of Medicine
1,221 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030
Children's Physician Services Of South Texas
1,354 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

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

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 Zuckerman's NPI number?

The NPI number for Samuel Zuckerman is 1831156595. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Samuel Zuckerman located?

Samuel Zuckerman practices at Mountain Neonatology LLC 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (602) 346-7013.

What is Samuel Zuckerman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Samuel Zuckerman enrolled in Medicare?

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

Which organizations bill Medicare for Samuel Zuckerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Zuckerman reassigns Medicare benefits to 4 organizations: Texas Tech University Health Sciences Center Amarillo (Amarillo, TX), Bsa Physicians Group Inc (Amarillo, TX), Baylor College Of Medicine (San Antonio, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). 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 Zuckerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Zuckerman accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Samuel Zuckerman 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 Zuckerman was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.