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SHEBA SAM
NPI 1093268567
Nurse Practitioner - Family in Doylestown, PA

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment
DOYLESTOWN HEALTH HOSPITALISTS, 595 W. STATE STREET, DOYLESTOWN, PA 18901(215) 345-2885(215) 345-2552 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2022, Aug 12, 2016 (2 updates tracked since 2016).

About Sheba Sam NPPES

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

SHEBA SAM (NPI 1093268567) is an individual family provider in Doylestown, Pennsylvania, licensed in Pennsylvania (SP016344) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093268567
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEBA SAM
Location AddressDOYLESTOWN HEALTH HOSPITALISTS, 595 W. STATE STREETDoylestown, PA 18901
Mailing AddressPo Box 829641Philadelphia, PA 19182-9641 · (267) 370-5296
Phone(215) 345-2885
Fax(215) 345-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2016
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1093268567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016344
Also ListedRegistered NurseTaxonomy 163W00000X · License RN591219 (PA)
DOYLESTOWN HEALTH HOSPITALISTS, Doylestown, PA 18901
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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

Sheba Sam 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 ID2668752759
PECOS Enrollment IDI20161207000494
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 Reassignments

5

Medicare enrollment records show Sheba Sam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Specialty Associates
0.8 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1306734934 (215) 230-5296
Via Affiliates
0.8 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 101
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1093380982 (215) 230-0600
Temple Physicians Inc
13 mi
Endocrinology, Diabetes & Metabolism
515 PENNSYLVANIA AVE, SUITE C
Fort Washington, PA 19034
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
NPI 1518396530 (215) 540-0120
Montgomery County Pulmonary And Sleep Consultants PC
15 mi
Pulmonary Disease
325 W GERMANTOWN PIKE STE 301
East Norriton, PA 19403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group
NPI 1932156791 (610) 275-2446
Signify Health Medical Associates, PLLC
1,305 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$9.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sheba Sam's NPI number?

The NPI number for Sheba Sam is 1093268567. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Sheba Sam located?

Sheba Sam practices at Doylestown Health Hospitalists 595 W. State Street, Doylestown, PA 18901. The listed phone number is (215) 345-2885.

What is Sheba Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheba Sam enrolled in Medicare?

Yes. Sheba Sam 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 organizations bill Medicare for Sheba Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheba Sam reassigns Medicare benefits to 5 organizations: Clinical Specialty Associates (Doylestown, PA), Via Affiliates (Doylestown, PA), Temple Physicians Inc (Fort Washington, PA), Montgomery County Pulmonary And Sleep Consultants PC (East Norriton, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Sheba Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sheba Sam affiliated with any hospitals?

According to CMS data, Sheba Sam is affiliated with Temple University Hospital, Grand View Health and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Sheba Sam was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.