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MR. SAMUEL JESUS ROSERO GARCIA M.D.
NPI 1912395807
General Practice in Lakeside, AZ

Active since December 31, 2014PECOS EnrolledAccepts Medicare Assignment
300 W. WHITE MOUNTAIN BLVD, SUITE D, LAKESIDE, AZ 85929(928) 368-4547(928) 368-4527 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2020, Nov 7, 2017 (2 updates tracked since 2017).

About Mr. Samuel Jesus Rosero Garcia M.d. NPPES

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

MR. SAMUEL JESUS ROSERO GARCIA M.D. (NPI 1912395807) is an individual general practice provider in Lakeside, Arizona, licensed in Puerto Rico (019230) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1912395807
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. SAMUEL JESUS ROSERO GARCIACredential: M.D.
Location Address300 W. WHITE MOUNTAIN BLVD, SUITE DLakeside, AZ 85929
Mailing Address300 W. White Mountain Blvd, Suite DLakeside, AZ 85929 · (928) 368-4547 · Fax (928) 368-4527
Phone(928) 368-4547
Fax(928) 368-4527
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 31, 2014
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1912395807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PR · 019230✔ Licensed in AZ · 61056
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 61056 (AZ)
300 W. WHITE MOUNTAIN BLVD, SUITE D, Lakeside, AZ 85929
Open in Google Maps ↗

Other Identifiers 1

Other019230PR · Pr Licensure Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Jesus Rosero Garcia M.d. 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 ID244506418
PECOS Enrollment IDI20241127002016
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 Reassignments

5

Medicare enrollment records show Samuel Rosero Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs Ihs Phoenix Area
21 mi
General Acute Care Hospital
200 WEST HOSPITAL DRIVE
Whiteriver, AZ 85941
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
NPI 1427335140 (928) 338-4911
Winslow Indian Health Care Group
72 mi
Clinic/Center
1501 N WILLIAMSON AVE
Winslow, AZ 86047
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Winslow Indian Health Care Center Inc
  • 219 clinicians in this Medicare group
NPI 1255501565 (928) 289-4691
Winslow Memorial Hospital Inc
72 mi
Critical Access
1501 WILLIAMSON AVE
Winslow, AZ 86047
  • Reassigned Medicare billing, Arizona enrollment
  • 69 clinicians in this Medicare group
NPI 1477653889 (928) 289-4691
Navajo Health Foundation-Sage Memorial Hospital, Inc.
108 mi
Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
NPI 1477735777 (928) 755-4500
Kayenta Alternative Rural Hospital
175 mi
General Acute Care Hospital
US HIGHWAY 160, S MP 394
Kayenta, AZ 86033
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1174692529 (928) 697-4000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

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 Rosero Garcia's NPI number?

The NPI number for Samuel Rosero Garcia is 1912395807. It was assigned to this individual provider in the NPPES registry on December 31, 2014.

Where is Samuel Rosero Garcia located?

Samuel Rosero Garcia practices at 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929. The listed phone number is (928) 368-4547.

What is Samuel Rosero Garcia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Samuel Rosero Garcia enrolled in Medicare?

Yes. Samuel Rosero Garcia 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.

Which organizations bill Medicare for Samuel Rosero Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Rosero Garcia reassigns Medicare benefits to 5 organizations: Dhhs Ihs Phoenix Area (Whiteriver, AZ), Winslow Indian Health Care Group (Winslow, AZ), Winslow Memorial Hospital Inc (Winslow, AZ), Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ) and Kayenta Alternative Rural Hospital (Kayenta, AZ). Each 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 Rosero Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Rosero Garcia was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.