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

Samuel A Gottlieb

Individual provider Pediatrics Physician · NPI 1255793865

Samuel A Gottlieb is a Pediatric Medicine in Baltimore, Maryland. Graduated from Medical College of Georgia School of Medicine in 2016, 10 years ago. Licensed in New Jersey and Pennsylvania.

Years since qualifying
10
Trained at
Medical College of Georgia School of Medicine
Licensed in
NJ, PA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1800 Orleans St
Baltimore, MD 21287-0010
Phone: (410) 995-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA12933300 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence MD466777 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255793865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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