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SAMANTHA L NAIDU PA-C
NPI 1891533642
Physician Assistant - Surgical in Lakewood, CO

Active since July 16, 2024PECOS EnrolledAccepts Medicare Assignment
8095 W EVANS PL, LAKEWOOD, CO 80227(303) 243-1595(303) 243-1595 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Samantha L Naidu Pa-c NPPES

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

SAMANTHA L NAIDU PA-C (NPI 1891533642) is an individual surgical provider in Lakewood, Colorado, licensed in Colorado (PA.0008936) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891533642
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA L NAIDUCredential: PA-C
Location Address8095 W EVANS PLLakewood, CO 80227-2431
Mailing Address8095 W Evans PlLakewood, CO 80227-2431 · (303) 243-1595 · Fax (303) 243-1595
Phone(303) 243-1595
Fax(303) 243-1595
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2024
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1891533642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · PA.0008936
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0008936 (CO)
8095 W EVANS PL, Lakewood, CO 80227
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Secondary Practice Location 1

Location 111750 W 2nd Pl Ste 255Lakewood, CO 80228-1726 · Phone (720) 638-7500 · Fax (720) 321-8041

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

Samantha L Naidu Pa-c 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 ID1456888924
PECOS Enrollment IDI20241220003957
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 Samantha Naidu's NPI number?

The NPI number for Samantha Naidu is 1891533642. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Samantha Naidu located?

Samantha Naidu practices at 8095 W Evans Pl, Lakewood, CO 80227. The listed phone number is (303) 243-1595.

What is Samantha Naidu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Naidu enrolled in Medicare?

Yes. Samantha Naidu 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 Samantha Naidu was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.