SHAMELIA SHANTEY ANGLIN SAMUEL
NPI 1457126559
Clinic/Center - Primary Care in Brooklyn, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shamelia Shantey Anglin Samuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shamelia Anglin Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10007
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Ny Medical Factor PC
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYPhysician 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.
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.
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.
Which organization bills Medicare for Shamelia Anglin Samuel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shamelia Anglin Samuel reassigns Medicare benefits to Ny Medical Factor, P.C. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shamelia Anglin Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Shamelia Shantey Anglin Samuel · NPI 1457126559
Primary Care provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since November 17, 2023.
## Identity
- **NPI:** 1457126559 (Entity type: Individual)
- **Enumerated:** November 17, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 451 CLARKSON AVE, Brooklyn, NY 11203-2054
- **Phone:** (718) 245-4620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ny Medical Factor, P.C. (NPI 1770233132, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457126559) · Data from the CMS NPPES public registry.