DR. SAM JAYANTH SAMUEL MD
NPI 1184886004
Internal Medicine - Gastroenterology in Olean, NY

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
2223 W STATE ST, OLEAN, NY 14760(716) 372-5601 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sam Jayanth Samuel Md NPPES

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

DR. SAM JAYANTH SAMUEL MD (NPI 1184886004) is an individual gastroenterology provider in Olean, New York, licensed in New York (233868) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1184886004
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SAM JAYANTH SAMUELCredential: MD
Location Address2223 W STATE STOlean, NY 14760-1938
Mailing Address8520 Stahley RdEast Amherst, NY 14051-1540 · (716) 636-5651
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 1, 2008
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
NPI 1184886004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NY · 233868 Licensed in HI · MD-22219
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 233868 (NY)
2223 W STATE ST, Olean, NY 14760

Accepted Insurance

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

Dr. Sam Jayanth 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 ID3971566779
PECOS Enrollment IDI20250911005096
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.

Hospital Affiliations CMS Care Compare

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14760 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 19

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

Internal Medicine (Gastroenterology)
2223 W STATE ST, SUITE 115
OLEAN, NY 14760
Hearing Aid Equipment
2223 W STATE ST, SUITE 102
OLEAN, NY 14760
Internal Medicine (Gastroenterology)
2223 W STATE ST, SUITE 115
OLEAN, NY 14760
Internal Medicine (Gastroenterology)
2223 W STATE ST, SUITE 115
OLEAN, NY 14760
Otolaryngology
2223 W STATE ST, SUITE 102
OLEAN, NY 14760
Specialist
2223 W STATE ST, SUITE 111
OLEAN, NY 14760
Surgery
2223 W STATE ST, SUITE 109
OLEAN, NY 14760
Physician Assistant (Medical)
2223 W STATE ST, #115
OLEAN, NY 14760

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 Sam Samuel's NPI number?

The NPI number for Sam Samuel is 1184886004. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Sam Samuel located?

Sam Samuel practices at 2223 W State St, Olean, NY 14760. The listed phone number is (716) 372-5601.

What is Sam Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sam Samuel enrolled in Medicare?

Yes. Sam 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.

What insurance does Sam Samuel accept?

Health plans from HMSA list Sam Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sam Samuel affiliated with any hospitals?

According to CMS data, Sam Samuel is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Sam Samuel was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.