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DR. KENIA SAMUEL M.D.
NPI 1427465053
Internal Medicine in Marietta, OH

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
401 MATTHEW ST, MARIETTA, OH 45750(740) 374-7700 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2021, Aug 11, 2020, Jun 8, 2017 (3 updates tracked since 2017).

About Dr. Kenia Samuel M.d. NPPES

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

DR. KENIA SAMUEL M.D. (NPI 1427465053) is an individual internal medicine provider in Marietta, Ohio, licensed in New York (299344) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427465053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENIA SAMUELCredential: M.D.
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address401 Matthew St.Marietta, OH 45750 · (740) 374-7700
Phone(740) 374-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 15, 2014
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1427465053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 299344
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.
Also ListedHospitalistTaxonomy 208M00000X · License 35131408 (OH)
401 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700 · Fax (740) 374-7701
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Kenia 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 ID2163790080
PECOS Enrollment IDI20170619001776, I20200616002142, I20260127001488
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
199 services100 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
156 services73 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
71 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Kenia Samuel's NPI number?

The NPI number for Kenia Samuel is 1427465053. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Kenia Samuel located?

Kenia Samuel practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-7700.

What is Kenia Samuel's specialty?

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

Is Kenia Samuel enrolled in Medicare?

Yes. Kenia 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.

What insurance does Kenia Samuel accept?

Health plans from CareSource list Kenia Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenia Samuel affiliated with any hospitals?

According to CMS data, Kenia Samuel is affiliated with Lenox Hill Hospital and Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenia Samuel was last updated on January 9, 2024. 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.