SHAMELIA SHANTEY ANGLIN SAMUEL
NPI 1457126559
Clinic/Center - Primary Care in Brooklyn, NY

Active since November 17, 2023PECOS Enrolled
451 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-4620 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shamelia Shantey Anglin Samuel NPPES

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

SHAMELIA SHANTEY ANGLIN SAMUEL (NPI 1457126559) is an individual primary care provider in Brooklyn, New York and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Kings County Hospital Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457126559
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameSHAMELIA SHANTEY ANGLIN SAMUEL
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2054
Mailing Address503 Maple StBrooklyn, NY 11225-4872 · (347) 995-0025
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
NPI 1457126559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
451 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shamelia Shantey Anglin Samuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012358807
PECOS Enrollment IDI20260313002623
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.

Hospital Affiliations CMS Care Compare

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

Kings County Hospital Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330202
Location451 Clarkson AvenueBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
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 20

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

Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203

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 Shamelia Anglin Samuel's NPI number?

The NPI number for Shamelia Anglin Samuel is 1457126559. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Shamelia Anglin Samuel located?

Shamelia Anglin Samuel practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-4620.

What is Shamelia Anglin Samuel's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Shamelia Anglin Samuel enrolled in Medicare?

Yes. Shamelia Anglin Samuel is registered in the Medicare PECOS enrollment system.

Is Shamelia Anglin Samuel affiliated with any hospitals?

According to CMS data, Shamelia Anglin Samuel is affiliated with Kings County Hospital Center.

When was this NPI record last updated?

The NPPES record for Shamelia Anglin Samuel was last updated on November 17, 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.