DR. SAMUEL FREDERICK CUSIMANO MD
NPI 1841949088
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 23, 2022PECOS Enrolled
1670 UPHAM DR, COLUMBUS, OH 43210(614) 293-4540 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel Frederick Cusimano Md NPPES

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

DR. SAMUEL FREDERICK CUSIMANO MD (NPI 1841949088) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841949088
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL FREDERICK CUSIMANOCredential: MD
Location Address1670 UPHAM DRColumbus, OH 43210-1250
Mailing Address1670 Upham DrColumbus, OH 43210-1250 · (614) 293-4540
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1841949088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1670 UPHAM DR, Columbus, OH 43210

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Frederick Cusimano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658838511
PECOS Enrollment IDI20260811001415
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 Samuel Cusimano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group

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

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.

Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR
COLUMBUS, OH 43210
Psychiatric Hospital
1670 UPHAM DR
COLUMBUS, OH 43210
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Counselor (Professional)
1670 UPHAM DR
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210

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 Cusimano's NPI number?

The NPI number for Samuel Cusimano is 1841949088. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Samuel Cusimano located?

Samuel Cusimano practices at 1670 Upham Dr, Columbus, OH 43210. The listed phone number is (614) 293-4540.

What is Samuel Cusimano's specialty?

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

Is Samuel Cusimano enrolled in Medicare?

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

Which organization bills Medicare for Samuel Cusimano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Cusimano reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). 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 Samuel Cusimano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Cusimano accept?

Health plans from Anthem Blue Cross and Blue Shield list Samuel Cusimano 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 Cusimano was last updated on March 23, 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.