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SAMUEL PHILLEO MD
NPI 1881406742
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since January 27, 2025PECOS Enrolled
340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202(317) 274-8157 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Philleo Md NPPES

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

SAMUEL PHILLEO MD (NPI 1881406742) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881406742
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL PHILLEOCredential: MD
Location Address340 W 10TH ST STE 6200Indianapolis, IN 46202-3082
Mailing Address340 W 10th St Ste 6200Indianapolis, IN 46202-3082 · (317) 274-8157
Phone(317) 274-8157
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1881406742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
340 W 10TH ST STE 6200, Indianapolis, IN 46202
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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 Philleo Md 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.

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.

GENTRY C DODD MD
Physical Medicine & Rehabilitation
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 625-6141
MAXWELL PAYNE JENKINS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MALLORY SUE PINE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (314) 274-8157
LILLIAN ASHTON HATTON
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LUKE NATHANAEL HARGRAVE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
YATZIRI MORENO
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
HARRISON ANDREW LAYMAN
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MICHELLE NIVAR
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 6200
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157

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 Philleo's NPI number?

The NPI number for Samuel Philleo is 1881406742. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Samuel Philleo located?

Samuel Philleo practices at 340 W 10th St Ste 6200, Indianapolis, IN 46202. The listed phone number is (317) 274-8157.

What is Samuel Philleo'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 Philleo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Philleo was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.