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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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.

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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Other Identifiers 5

Medicaid132776911TX

Medicaid200102900 AOH

Medicaid132776912TX

Medicaid132776910TX

Medicaid33787336NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. 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.

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.

What insurance does Samuel Zuckerman accept?

Health plans from 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.