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DR. SAMUEL KEBEDE MD, MPHIL
NPI 1407483597
Internal Medicine in New York, NY

Active since March 26, 2020PECOS Enrolled
462 1ST AVE, NEW YORK, NY 10016(844) 692-4692(212) 562-1672 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Kebede Md, Mphil NPPES

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

DR. SAMUEL KEBEDE MD, MPHIL (NPI 1407483597) is an individual internal medicine provider in New York, New York, licensed in New York (317045) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407483597
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMUEL KEBEDECredential: MD, MPHIL
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address462 1st AveNew York, NY 10016-9196 · (844) 692-4692
Phone(844) 692-4692
Fax(212) 562-1672
Sole ProprietorYes
Enumeration DateMarch 26, 2020
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1407483597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 317045
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
462 1ST AVE, New York, NY 10016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Kebede Md, Mphil is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. ROBERT MICHAEL LEMBO MD
Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-6425
MISS SHARONA DEBORAH KASHIMALLAK RPA-C
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 578-9951
ALEXANDRA KVERNLAND MD
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
RACHEL ZOE BAUMSTEIN DPT
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
New York County (212) 562-7059
ALIXANDRA LIN PETERSEN DPT
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-7059
ABIGAIL LLOYD
Social Worker
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
TALYA BUXBAUM
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 309-3239
MR. ALEX DASILVA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016
New York County (646) 236-0823

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 Samuel Kebede's NPI number?

The NPI number for Samuel Kebede is 1407483597. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Samuel Kebede located?

Samuel Kebede practices at 462 1st Ave, New York, NY 10016. The listed phone number is (844) 692-4692.

What is Samuel Kebede's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Kebede enrolled in Medicare?

Yes. Samuel Kebede is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Kebede was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.