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

Jibin Valiyaveettil Samuel, MBBS

Individual provider Pediatric Anesthesiology Physician · NPI 1841432291

Jibin Valiyaveettil Samuel, MBBS is an Anesthesiology in St Petersburg, Florida. Qualified in 2003, 23 years ago. Practices with Pediatric Physician Services, Inc, a 192-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

501 6th Ave S
St Petersburg, FL 33701-4634
Phone: (727) 767-8480
Fax: (727) 767-8420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence ME104317 (FL)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence ME104317 (FL)

Record details

NPI number1841432291
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pediatric Physician Services, Inc. — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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