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SAMRA SHOAIB MD
NPI 1205417409
Psychiatry & Neurology - Psychiatry in Commack, NY

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
500 COMMACK RD STE 101, COMMACK, NY 11725(631) 638-2600 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Apr 19, 2021 (2 updates tracked since 2021).

About Samra Shoaib Md NPPES

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

SAMRA SHOAIB MD (NPI 1205417409) is an individual psychiatry provider in Commack, New York, licensed in New York (335332) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205417409
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSAMRA SHOAIBCredential: MD
Location Address500 COMMACK RD STE 101Commack, NY 11725-5020
Mailing Address500 Commack Rd Ste 101Commack, NY 11725-5020
Phone(631) 638-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 19, 2021
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1205417409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 335332
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
500 COMMACK RD STE 101, Commack, NY 11725
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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

Samra Shoaib 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 ID143701573
PECOS Enrollment IDI20260224003641
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 Samra Shoaib reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Psychiatric Associates, University Faculty Practice Corpor
11 mi
Psychiatry
SUNY @ STONY BROOK, HSC, L10, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 133 clinicians in this Medicare group
NPI 1437105905 (631) 444-8125

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samra Shoaib's NPI number?

The NPI number for Samra Shoaib is 1205417409. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Samra Shoaib located?

Samra Shoaib practices at 500 Commack Rd Ste 101, Commack, NY 11725. The listed phone number is (631) 638-2600.

What is Samra Shoaib's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samra Shoaib enrolled in Medicare?

Yes. Samra Shoaib 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 organization bills Medicare for Samra Shoaib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samra Shoaib reassigns Medicare benefits to Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY). The 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 Samra Shoaib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samra Shoaib was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.