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GONNA SAMUEL MD
NPI 1104990472
Internal Medicine in Brooklyn, NY

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
5314 CHURCH AVE, BROOKLYN, NY 11203(718) 240-9031 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gonna Samuel Md NPPES

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

GONNA SAMUEL MD (NPI 1104990472) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (196832) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1104990472
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGONNA SAMUELCredential: MD
Location Address5314 CHURCH AVEBrooklyn, NY 11203-3609
Mailing Address958 Downing RdValley Stream, NY 11580-1509 · (917) 302-8478
Phone(718) 240-9031
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104990472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 196832
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.
5314 CHURCH AVE, Brooklyn, NY 11203
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Other Identifiers 3

Medicare UPING66737NY
Medicare ID-Type Unspecified334281NY
Medicaid11019001500NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gonna Samuel Md 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 ID4284781444
PECOS Enrollment IDI20090406000391
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.

Areas of Expertise CMS Part B claims 4

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 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.
434 services152 patients
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.
148 services89 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.
78 services76 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services58 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

FAZIL HUSSAIN
Internal Medicine
5314 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 240-9031
AUGUSTINE UMEOZOR M.D.
Internal Medicine
5314 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 240-9031
DR. ANUJA K REDDY M.D.
Internal Medicine
5314 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 240-9031

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 Gonna Samuel's NPI number?

The NPI number for Gonna Samuel is 1104990472. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Gonna Samuel located?

Gonna Samuel practices at 5314 Church Ave, Brooklyn, NY 11203. The listed phone number is (718) 240-9031.

What is Gonna Samuel's specialty?

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

Is Gonna Samuel enrolled in Medicare?

Yes. Gonna 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.

Is Gonna Samuel affiliated with any hospitals?

According to CMS data, Gonna Samuel is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Gonna Samuel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.