JIBIN VALIYAVEETTIL SAMUEL MBBS
NPI 1841432291
Anesthesiology - Pediatric Anesthesiology in St Petersburg, FL

Q: What is Jibin Samuel's NPI number?

The NPI number for Jibin Samuel is 1841432291. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Q: What is Jibin Samuel's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Jibin Samuel was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 01, 2009PECOS EnrolledAccepts Medicare Assignment

501 6TH AVE S, ST PETERSBURG, FL 33701(727) 767-8480(727) 767-8420 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2017, Aug 16, 2016 (2 updates tracked since 2016).

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About Jibin Valiyaveettil Samuel Mbbs NPPES

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

JIBIN VALIYAVEETTIL SAMUEL MBBS (NPI 1841432291) is an individual pediatric anesthesiology provider in St Petersburg, Florida, licensed in Florida (ME104317) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1841432291

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameJIBIN VALIYAVEETTIL SAMUELCredential: MBBS

Location Address501 6TH AVE SSt Petersburg, FL 33701-4634

Mailing Address5002 W Homer AveTampa, FL 33629 · (305) 979-5174

Phone(727) 767-8480

Fax(727) 767-8420

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 1, 2009

Last NPPES UpdateJanuary 18, 20172 updates tracked since enumeration

✔ NPI 1841432291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in FL · ME104317

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME104317 (FL)

501 6TH AVE S, St Petersburg, FL 33701

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Other Identifiers 1

Medicaid002338900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jibin Valiyaveettil Samuel Mbbs 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 ID4587789243

PECOS Enrollment IDI20100917000775

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 20

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

DR. STEPHEN ROGERS KENNEDY MD

Pediatrics

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4243

DR. WILLIAM EDWARD SCHAAF JR. M.D.

Radiology (Pediatric Radiology)

501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701

Pinellas County (727) 767-3318

KRISTY W PATEL MD

Hospitalist

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4243

JENNIFER FOUTCH M.S.W.

Social Worker

501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701

Pinellas County (727) 767-6794

SUSAN BUFFINGTON

Nurse Practitioner (Pediatrics)

501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701

Pinellas County (727) 767-3318

BRITTANY EASTER BOWER ARNP

Nurse Practitioner (Neonatal)

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4313

DR. DERECK DAVY PHRATHEP PH.D.

Psychologist

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4170

TARA MORDER

Nurse Practitioner (Neonatal)

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4313

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 Jibin Samuel's NPI number?

The NPI number for Jibin Samuel is 1841432291. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Jibin Samuel located?

Jibin Samuel practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-8480.

What is Jibin Samuel's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Jibin Samuel enrolled in Medicare?

Yes. Jibin Samuel 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.

When was this NPI record last updated?

The NPPES record for Jibin Samuel was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.