Samaritan Medical Practice, PC
NPI 1124202619 · Surgery Physician · Watertown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samaritan Medical Practice, PC is a Surgery Physician organization in Watertown, NY (NPI 1124202619).
Provider details
- NPI number
- 1124202619
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mario Victoria, President(315) 785-4570
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Frequently asked questions
- What is Samaritan Medical Practice, PC's NPI number?
- Samaritan Medical Practice, PC's National Provider Identifier (NPI) is 1124202619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samaritan Medical Practice, PC?
- Samaritan Medical Practice, PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Samaritan Medical Practice, PC located?
- Samaritan Medical Practice, PC's practice location on file with NPPES is 826 Washington St, Watertown, NY 13601-4063.
- What is Samaritan Medical Practice, PC's phone number?
- The practice phone number listed in the NPPES registry for Samaritan Medical Practice, PC is (315) 788-1751.
- Does Samaritan Medical Practice, PC accept Medicare?
- Samaritan Medical Practice, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samaritan Medical Practice, PC?
- The authorized official listed on Samaritan Medical Practice, PC's NPPES record is Mario Victoria, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samaritan Medical Practice, PC's NPI active?
- Yes — Samaritan Medical Practice, PC's NPI (1124202619) is active in the NPPES registry as of the last update on 2022-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.