Dr Samuel David Maldonado Jr, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. He went to Rutgers New Jersey Medical School and graduated in 2020 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mass General Brigham Medical Group Suburban Massachusetts Inc, The General Hospital Corporation, Massachusetts General Physicians Organization Inc and his current practice location is
55 Fruit Street, Bul-1-130, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 726-3906.
Dr Samuel David Maldonado Jr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972130912.
Physician's Profile
| Full Name | Dr Samuel David Maldonado Jr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 6 Years |
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| Location | 55 Fruit Street, Bul-1-130, Boston, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Samuel David Maldonado Jr attended and graduated from Rutgers New Jersey Medical School in 2020
NPI Data:
- NPI Number: 1972130912
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193194322
- Enrollment ID: I20250708000931
Medical Identifiers
Medical identifiers for Dr Samuel David Maldonado Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972130912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RI0200X | Internal Medicine - Infectious Disease | 1021380 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | 0244133494 | 534 |
| The General Hospital Corporation | 6507803806 | 1287 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3510 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel David Maldonado Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Samuel David Maldonado Jr, MD, PHD 1215 Lee St Box 800744, Charlottesville, VA 22908-0816 Ph: (434) 924-1931 | Dr Samuel David Maldonado Jr, MD, PHD 55 Fruit Street, Bul-1-130, Boston, MA 02114 Ph: (617) 726-3906 |
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