MR. JOHN SAMUEL PA
NPI 1215096714
Physician Assistant - Surgical in Bronx, NY

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, BRONX, NY 10451(718) 579-5900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Samuel Pa NPPES

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

MR. JOHN SAMUEL PA (NPI 1215096714) is an individual surgical provider in Bronx, New York, licensed in New York (009777) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215096714
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JOHN SAMUELCredential: PA
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address230 Kimball TerYonkers, NY 10704-3058 · (914) 376-7827
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215096714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 009777
234 E 149TH ST, Bronx, NY 10451

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

Mr. John Samuel Pa 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 ID2961686324
PECOS Enrollment IDI20110408000172
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services102 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
90 services83 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
88 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services36 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
25 services24 patients

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Dermatology
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451

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 John Samuel's NPI number?

The NPI number for John Samuel is 1215096714. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is John Samuel located?

John Samuel practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5900.

What is John Samuel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Samuel enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John 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.