MIRELA SAM MD
NPI 1285639203
Internal Medicine - Infectious Disease in Brooklyn, NY

NPI Status: Active since June 16, 2005

Contact Information

1545 ATLANTIC AVE
BROOKLYN, NY
ZIP 11213
Phone: (718) 484-3954
Fax: (718) 484-3955

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  • Individual
  • Female
  • Years of Experience 40
  • Internal Medicine
  • Infectious Disease
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MIRELA SAM

Mirela Sam is an internist established in Brooklyn, New York and her medical specialization is Internal Medicine with a focus in infectious disease with more than 40 years of experience. The healthcare provider is registered in the NPI registry with number 1285639203 assigned on June 2005. The practitioner's primary taxonomy code is 207RI0200X with license number 198399 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1285639203
Provider Name
MIRELA SAM MD
Gender
Female
Entity Type
Individual
Location Address
1545 ATLANTIC AVE BROOKLYN, NY 11213
Location Phone
(718) 484-3954
Location Fax
(718) 484-3955
Mailing Address
1545 ATLANTIC AVE BROOKLYN, NY 11213
Mailing Phone
(718) 484-3954
Mailing Fax
(718) 484-3955
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
Yes
Enumeration Date
06-16-2005
Last Update Date
07-27-2013
Code Navigator

An internist like Mirela Sam is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mirela Sam is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $40.72 for a new patient copayment and $31.16 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
198399
License State
NY
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01587686MEDICAID (05)NY 
00N011MEDICARE PIN (08) 
G23605MEDICARE UPIN (02) 

PECOS Enrollment and Medicare Participation Status

Mirela Sam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 143307694

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080408000342

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11213 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $162.91
  • Minimum New Patient Price $71.49
  • Maximum New Patient Price $215.02
  • Average New Patient Copayment $40.72
  • Minimum New Patient Copayment $17.87
  • Maximum New Patient Copayment $53.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $124.65
  • Minimum Established Patient Price $22.05
  • Maximum Established Patient Price $174.06
  • Average Established Patient Copayment $31.16
  • Minimum Established Patient Copayment $5.51
  • Maximum Established Patient Copayment $43.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285639203
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651231820
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 3 + 1 + 8 + 2 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1285639203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003893041DR. ALLAN R. KEIL M.D.
Individual
Radiology (Diagnostic Radiology)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-4000
1619920113 VSEVOLOD G RUDOY
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-4880
1710932926 YEVGENIY KHALDAROV M.D.
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-4929
1003861220 AMAL SAHA M.D.
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-4000
1891734992 KANG YUN YU M.D.
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-4425
1184658346 JEAN GUY ELIE MD
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1124052394 CARMIN APPOLON MD
Individual
Emergency Medicine1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1053345223 HASINA HAROON MD
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1265467807 ROBERT RAJKUMAR MD
Individual
Emergency Medicine1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1942225842 ALLEN KAPIT MD
Individual
Radiology (Diagnostic Radiology)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1942225867 VANDANA CHOKSHI MD
Individual
Radiology (Diagnostic Radiology)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1447285010 FRANCOIS PARISIEN MD
Individual
Obstetrics & Gynecology (Obstetrics)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1508891177 NARCISSE VERSAILLES MD
Individual
Obstetrics & Gynecology (Obstetrics)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1396770863 MAXIMO E MORA MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1548288616 DINDIAL SINGH MD
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1750300323 KATTINGERI V RAO MD
Individual
Emergency Medicine1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1730108390 BERTHOLET DESIR MD
Individual
Psychiatry & Neurology (Psychiatry)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1518986686DR. NASSER H.S. HASSANI M.D.
Individual
Radiology (Diagnostic Radiology)1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1902827736 SABARATNAM SHANMUGANATHAN MD
Individual
Internal Medicine1545 ATLANTIC AVE
BROOKLYN, NY 11213
(800) 376-5566
1679594311 RAVICHAND OODAL MD
Individual
Internal Medicine1545 ATLANTIC AVE
BROOKLYN, NY 11213
(718) 613-7005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285639203, enumerated in the NPI registry as an "individual" on June 16, 2005

The provider is located at 1545 Atlantic Ave Brooklyn, Ny 11213 and the phone number is (718) 484-3954

The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease

The provider has more than 40 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $162.91 with an average copayment of $40.72 for new patient appointments. Established patients should expect a typical charge of $124.65 and an average copayment of 31.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.