Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bethany Tara Samuelson Bannow, MD, MCR

Individual provider Hematology (Internal Medicine) Physician · NPI 1619267556

Dr. Bethany Tara Samuelson Bannow, MD, MCR is a Hematology in Cleveland, Ohio. Qualified in 2014, 12 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Oregon.

Years since qualifying
12
Licensed in
OH, OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10201 Carnegie Ave
Cleveland, OH 44106-2130
Phone: (866) 223-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3303 Sw Bond Ave, Portland, OR 97239-4501 — (503) 494-8534

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 35.154541 (OH)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence OR186355 (OR)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence 35.154541 (OH)

Record details

NPI number1619267556
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MCR
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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