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DR. JOHN SANIL SAMUEL M.D.
NPI 1053574509
Internal Medicine in Mc Lean, VA

Active since July 04, 2008PECOS EnrolledAccepts Medicare Assignment
8008 WESTPARK DR, MC LEAN, VA 22102(703) 287-1504(301) 388-1795 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2021, Mar 3, 2016 (2 updates tracked since 2016).

About Dr. John Sanil Samuel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN SANIL SAMUEL M.D. (NPI 1053574509) is an individual internal medicine provider in Mc Lean, Virginia, licensed in Virginia (0101259247) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053574509
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN SANIL SAMUELCredential: M.D.
Location Address8008 WESTPARK DRMc Lean, VA 22102-3109
Mailing Address8008 Westpark DrMc Lean, VA 22102-3109 · (703) 287-1504 · Fax (301) 388-1795
Phone(703) 287-1504
Fax(301) 388-1795
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 4, 2008
Last NPPES UpdateJune 4, 20212 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1053574509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101259247
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8008 WESTPARK DR, Mc Lean, VA 22102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Sanil Samuel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971753013
PECOS Enrollment IDI20160202001929
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
8008 WESTPARK DR
Mc Lean, VA 22102
NPI 1376815472 (703) 490-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TROY W BAKER D.O.
Allergy & Immunology
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6559
JENNIFER GILLMAN
Nuclear Medicine
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
DR. JULIE ANN AMBROSE M.D.
Obstetrics & Gynecology
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-4550
DR. LINDA M CARDINAL MD
Surgery
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
REGINA DE LA TORRE LEE
Registered Nurse
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400
MRS. CYNTHIA ANN LEAVER PHD, RN, FNP-BC
Nurse Practitioner (Family)
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6442
DR. BAO KHOA TRAN NGUYEN PHARMD
Pharmacist
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-4650
DR. KARANPREET KAUR KHAHERA DO
Family Medicine
8008 WESTPARK DR
MC LEAN, VA 22102
Fairfax County (703) 287-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Samuel's NPI number?

The NPI number for John Samuel is 1053574509. It was assigned to this individual provider in the NPPES registry on July 4, 2008.

Where is John Samuel located?

John Samuel practices at 8008 Westpark Dr, Mc Lean, VA 22102. The listed phone number is (703) 287-1504.

What is John Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Samuel enrolled in Medicare?

Yes. John Samuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Samuel reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Mc Lean, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Samuel affiliated with any hospitals?

According to CMS data, John Samuel is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for John Samuel was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.