SAMARA SHALOM M.S. CCC-SLP
NPI 1679874507
Speech-Language Pathologist in Pikesville, MD

Active since November 09, 2010
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208(410) 394-8794 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 31, 2023, Dec 9, 2021, Apr 23, 2020 and 3 more (6 updates tracked since 2016).

About Samara Shalom M.s. Ccc-slp NPPES

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

SAMARA SHALOM M.S. CCC-SLP (NPI 1679874507) is an individual speech-language pathologist provider in Pikesville, Maryland and active in the NPI registry since November 2010. She maintains a secondary practice location in Pikesville.

NPPES Registry Identity

NPI1679874507
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMARA SHALOMCredential: M.S. CCC-SLP
Location Address1700 REISTERSTOWN RD STE 226Pikesville, MD 21208-1416
Mailing Address1700 Reisterstown Rd Ste 219Pikesville, MD 21208-2920 · (410) 394-8794
Sole ProprietorNo
Enumeration DateNovember 9, 2010
Last NPPES UpdateMay 31, 20236 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1679874507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1700 REISTERSTOWN RD STE 226, Pikesville, MD 21208

Secondary Practice Location 1

Location 11498 Reisterstown Rd, 339Pikesville, MD 21208-3817 · Phone (618) 974-9818

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samara Shalom M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samara Shalom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 3 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.

Other Providers at the Same Location NPPES 9

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

Occupational Therapist (Pediatrics)
1700 REISTERSTOWN RD STE 226
BALTIMORE, MD 21208
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Occupational Therapist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Occupational Therapist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208
Speech-Language Pathologist
1700 REISTERSTOWN RD STE 226
PIKESVILLE, MD 21208

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 Samara Shalom's NPI number?

The NPI number for Samara Shalom is 1679874507. It was assigned to this individual provider in the NPPES registry on November 9, 2010.

Where is Samara Shalom located?

Samara Shalom practices at 1700 Reisterstown Rd Ste 226, Pikesville, MD 21208. The listed phone number is (410) 394-8794.

What is Samara Shalom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Samara Shalom enrolled in Medicare?

Yes. Samara Shalom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samara Shalom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara Shalom reassigns Medicare benefits to Speech Leap, LLC (Pikesville, MD). 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 Samara Shalom'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 Samara Shalom was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.