DR. RODRIGO T. SAMODAL MD NPI 1710951249

NPI Information

  • NPI: 1710951249
  • Provider Name: DR. RODRIGO T. SAMODAL, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 JOHN ROEMMELT DR STE 200
    HORSEHEADS, NY
    ZIP 14845
  • Phone: (607) 795-2880

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NPI Details

DR. Rodrigo T. Samodal, MD is a family medicine in Horseheads, NY with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Rodrigo T. Samodal, MD NPI is 1710951249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 JOHN ROEMMELT DR STE 200
HORSEHEADS, NY
ZIP 14845-303
Phone: (607) 795-2880
Fax: (607) 873-1824

The NPI 1710951249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • Hemoglobin a1c level (HCPCS:83036)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/13/2006 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine233438-1NEW YORKNo
2207Q00000XFamily MedicineMD424079PENNSYLVANIANo
3207Q00000XFamily Medicine2017-00368NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102581473MEDICAIDNEW YORK
21011007100001MEDICAIDPENNSYLVANIA
3P00179402OTHERNEW YORKRR MEDICARE PIN
4GU039851OTHERPENNSYLVANIAPA MEDICARE GROUP
5CC8362OTHERNEW YORKRR MEDICARE GROUP
6P00405510OTHERPENNSYLVANIARR MEDICARE PIN
7CC9269OTHERPENNSYLVANIARR MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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