SAMANTHA REVELLO DO
NPI 1922595784
Student in an Organized Health Care Education/Training Program in Staten Island, NY
About Samantha Revello Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA REVELLO DO (NPI 1922595784) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2018).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Revello Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Revello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harlem Hospital Center
Acute Care Hospitals · New York, NYFrequently 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 Revello's NPI number?
The NPI number for Samantha Revello is 1922595784. It was assigned to this individual provider in the NPPES registry on April 17, 2018.
Where is Samantha Revello located?
Samantha Revello practices at 7676 Amboy Rd, Staten Island, NY 10307. The listed phone number is (347) 216-8232.
What is Samantha Revello's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Revello enrolled in Medicare?
Yes. Samantha Revello 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 Samantha Revello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Revello reassigns Medicare benefits to 2 organizations: Physician Affiliate Group Of New York PC (New York, NY) and Harlem Medical Associates PC (New York, NY). 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 Samantha Revello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Revello affiliated with any hospitals?
According to CMS data, Samantha Revello is affiliated with Harlem Hospital Center.
When was this NPI record last updated?
The NPPES record for Samantha Revello was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Samantha Revello, DO · NPI 1922595784
Student in an Organized Health Care Education/Training Program provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1922595784 (Entity type: Individual)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 7676 AMBOY RD, Staten Island, NY 10307-1433
- **Phone:** (347) 216-8232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Harlem Medical Associates PC (NPI 1487957692, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2018
## Record status
- **NPPES last updated:** January 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922595784) · Data from the CMS NPPES public registry.