DR. SAMUEL MICHAEL THEAGENE MD
NPI 1518928167
Physical Medicine & Rehabilitation in Laurelton, NY
About Dr. Samuel Michael Theagene Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL MICHAEL THEAGENE MD (NPI 1518928167) is an individual physical medicine & rehabilitation provider in Laurelton, New York, licensed in New York (194218) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel Michael Theagene Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Theagene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurelton, NY 11413
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theagene's NPI number?
The NPI number for Samuel Theagene is 1518928167. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is Samuel Theagene located?
Samuel Theagene practices at 22422 Merrick Blvd, Laurelton, NY 11413. The listed phone number is (347) 270-8353.
What is Samuel Theagene's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Samuel Theagene enrolled in Medicare?
Yes. Samuel Theagene 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.
Which organization bills Medicare for Samuel Theagene's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Theagene reassigns Medicare benefits to Central Park Physical Medicine PC (Laurelton, 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 Samuel Theagene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Theagene was last updated on March 4, 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.