DR. BISHOY T SAMUEL MD
NPI 1659506624
Psychiatry & Neurology - Addiction Medicine in Center City, MN
About Dr. Bishoy T Samuel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BISHOY T SAMUEL MD (NPI 1659506624) is an individual addiction medicine provider in Center City, Minnesota, licensed in Minnesota (76576) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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. Bishoy T Samuel 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 Bishoy Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apple Valley, CA 92308
- Reassigned Medicare billing, California enrollment
- 1,699 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 55012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CENTER CITY, MN 55012
CENTER CITY, MN 55012
CENTER CITY, MN 55012
CENTER CITY, MN 55012
CENTER CITY, MN 55012
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 Bishoy Samuel's NPI number?
The NPI number for Bishoy Samuel is 1659506624. It was assigned to this individual provider in the NPPES registry on May 20, 2009.
Where is Bishoy Samuel located?
Bishoy Samuel practices at 15251 Pleasant Valley Rd, Center City, MN 55012. The listed phone number is (877) 793-5205.
What is Bishoy Samuel's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.
Is Bishoy Samuel enrolled in Medicare?
Yes. Bishoy 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.
Which organization bills Medicare for Bishoy Samuel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bishoy Samuel reassigns Medicare benefits to Providence Medical Foundation (Apple Valley, CA). 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 Bishoy Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bishoy Samuel accept?
Health plans from Oscar Health list Bishoy 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.
When was this NPI record last updated?
The NPPES record for Bishoy Samuel was last updated on June 21, 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.
# Dr. Bishoy T Samuel, MD · NPI 1659506624
Addiction Medicine physician in Center City, Minnesota. Individual provider, active in the CMS NPPES registry since May 20, 2009.
## Identity
- **NPI:** 1659506624 (Entity type: Individual)
- **Enumerated:** May 20, 2009
- **Primary specialty:** Psychiatry & Neurology - Addiction Medicine · taxonomy 2084A0401X
- **State license:** 76576 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15251 PLEASANT VALLEY RD, Center City, MN 55012-9640
- **Phone:** (877) 793-5205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1053616706, Apple Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659506624) · Data from the CMS NPPES public registry.