SAMANTHA ROSE SHOOK MD
NPI 1063354827
Internal Medicine in Grand Rapids, MI

Q: What is Samantha Shook's NPI number?

The NPI number for Samantha Shook is 1063354827. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Q: What is Samantha Shook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Shook was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2026PECOS Enrolled

275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503(616) 391-3777 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha Rose Shook Md NPPES

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

SAMANTHA ROSE SHOOK MD (NPI 1063354827) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351056462) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063354827

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSAMANTHA ROSE SHOOKCredential: MD

Location Address275 MICHIGAN ST NE FL 9Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531 · (616) 391-3777

Phone(616) 391-3777

Sole ProprietorNo

Enumeration DateApril 8, 2026

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1063354827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4351056462

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.

275 MICHIGAN ST NE FL 9, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Rose Shook Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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