SAMANTHA LEE SHIRA MD
NPI 1558702811
Family Medicine in Brooklyn, NY
About Samantha Lee Shira Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LEE SHIRA MD (NPI 1558702811) is an individual family medicine provider in Brooklyn, New York, licensed in New York (310193) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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
Samantha Lee Shira 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 Reassignments
2Medicare enrollment records show Samantha Shira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11201 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 11201
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 Samantha Shira's NPI number?
The NPI number for Samantha Shira is 1558702811. It was assigned to this individual provider in the NPPES registry on July 15, 2013.
Where is Samantha Shira located?
Samantha Shira practices at 50 Court St, Brooklyn, NY 11201. The listed phone number is (718) 222-1235.
What is Samantha Shira's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Shira enrolled in Medicare?
Yes. Samantha Shira 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 organizations bill Medicare for Samantha Shira's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shira reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Sapphire At Gresham Rehab, LLC (Gresham, OR). Each 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 Samantha Shira'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 Samantha Shira was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Samantha Lee Shira, MD · NPI 1558702811
Family Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since July 15, 2013.
## Identity
- **NPI:** 1558702811 (Entity type: Individual)
- **Enumerated:** July 15, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 310193 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 COURT ST, Brooklyn, NY 11201-4879
- **Phone:** (718) 222-1235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA); Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558702811) · Data from the CMS NPPES public registry.