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SHAAKIR MCINTOSH-SAMUEL MD
NPI 1245976406
Family Medicine in Brooklyn, NY

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment
445 GOLD ST STE M110, BROOKLYN, NY 11201(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2025, May 10, 2022 (2 updates tracked since 2022).

About Shaakir Mcintosh-samuel Md NPPES

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

SHAAKIR MCINTOSH-SAMUEL MD (NPI 1245976406) is an individual family medicine provider in Brooklyn, New York, licensed in New York (338915) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245976406
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAAKIR MCINTOSH-SAMUELCredential: MD
Location Address445 GOLD ST STE M110Brooklyn, NY 11201-5177
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (888) 663-6331 · Fax (415) 252-7176
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 10, 2022
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1245976406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 338915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
445 GOLD ST STE M110, Brooklyn, NY 11201
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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

Shaakir Mcintosh-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 ID9234636101
PECOS Enrollment IDI20251007003873
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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 2

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

DR. SARAH PARKER LEVENTER MD
Family Medicine
445 GOLD ST STE M110
BROOKLYN, NY 11201
Kings County (888) 663-6331
ALENADREALE BANTON MD
Family Medicine
445 GOLD ST STE M110
BROOKLYN, NY 11201
Kings County (888) 663-6331

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 Shaakir Mcintosh-samuel's NPI number?

The NPI number for Shaakir Mcintosh-samuel is 1245976406. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Shaakir Mcintosh-samuel located?

Shaakir Mcintosh-samuel practices at 445 Gold St Ste M110, Brooklyn, NY 11201. The listed phone number is (888) 663-6331.

What is Shaakir Mcintosh-samuel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shaakir Mcintosh-samuel enrolled in Medicare?

Yes. Shaakir Mcintosh-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 Shaakir Mcintosh-samuel was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.