DR. TANYKA SAM M.D.
NPI 1164653416
Internal Medicine in Brooklyn, NY

Q: What is Tanyka Sam's NPI number?

The NPI number for Tanyka Sam is 1164653416. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Q: What is Tanyka Sam'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 Tanyka Sam was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment

8923 FLATLANDS AVE, BROOKLYN, NY 11236(718) 765-6000(347) 436-9621 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Aug 13, 2024 (2 updates tracked since 2024).

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About Dr. Tanyka Sam M.d. NPPES

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

DR. TANYKA SAM M.D. (NPI 1164653416) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (271647) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Woodhull Medical & Mental Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164653416

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. TANYKA SAMCredential: M.D.

Location Address8923 FLATLANDS AVEBrooklyn, NY 11236-3613

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (833) 804-1695

Phone(718) 765-6000

Fax(347) 436-9621

Sole ProprietorYes

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2007

Enumeration DateAugust 4, 2009

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1164653416 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 · 271647

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.

8923 FLATLANDS AVE, Brooklyn, NY 11236

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Secondary Practice Locations 2

Location 11249 Nostrand AveBrooklyn, NY 11225-3844 · Phone (718) 765-6008 · Fax (347) 682-4219

Location 21530 Bedford Ave Fl 2Brooklyn, NY 11216-4117 · Phone (917) 588-4798

Other Identifiers 1

Medicaid038799100MD

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. Tanyka Sam 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 ID3072796374

PECOS Enrollment IDI20131016000584

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 Tanyka Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Street Health Of New York Medical Group PC

2.0 mi

Primary Care

455 SUTTER AVE
Brooklyn, NY 11212

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Griffin Myers Medical PC
101 clinicians in this Medicare group

NPI 1780209445 (718) 765-6550

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.

Woodhull Medical & Mental Health Center

Acute Care Hospitals · Brooklyn, NY

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330396

Location760 BroadwayBrooklyn, NY 11206 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11236 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 6

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

KAREN ANTONNETTE MCLEOD-DELEANEY M.D.

Internal Medicine