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DR. SUHAS JOE SAMUEL M.D.
NPI 1356632962
Family Medicine - Sports Medicine in Ellenwood, GA

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
2720 QUIKTRIP WAY, ELLENWOOD, GA 30294(470) 582-5698 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2023, Mar 17, 2017, Jan 4, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Suhas Joe Samuel M.d. NPPES

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

DR. SUHAS JOE SAMUEL M.D. (NPI 1356632962) is an individual sports medicine provider in Ellenwood, Georgia, licensed in Georgia (072465) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356632962
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. SUHAS JOE SAMUELCredential: M.D.
Location Address2720 QUIKTRIP WAYEllenwood, GA 30294-3504
Mailing Address4705 S 129th East AveTulsa, OK 74134-7005 · (918) 615-7310
Phone(470) 582-5698
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2011
Last NPPES UpdateJanuary 19, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1356632962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in GA · 072465
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2720 QUIKTRIP WAY, Ellenwood, GA 30294
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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

Dr. Suhas Joe Samuel M.d. 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 ID9436397163
PECOS Enrollment IDI20170412001973
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

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30294 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Suhas Samuel's NPI number?

The NPI number for Suhas Samuel is 1356632962. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Suhas Samuel located?

Suhas Samuel practices at 2720 Quiktrip Way, Ellenwood, GA 30294. The listed phone number is (470) 582-5698.

What is Suhas Samuel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Suhas Samuel enrolled in Medicare?

Yes. Suhas 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 Suhas Samuel was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.