DR. AYOL SAMUELS M.D.
NPI 1750641478
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Ayol Samuels's NPI number?

The NPI number for Ayol Samuels is 1750641478. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Ayol Samuels's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ayol Samuels was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 29, 2012PECOS Enrolled

100/100

CMS Quality Rating

111 E 210TH ST, BRONX, NY 10467(917) 751-2671 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ayol Samuels M.d. NPPES

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

DR. AYOL SAMUELS M.D. (NPI 1750641478) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750641478

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. AYOL SAMUELSCredential: M.D.

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address1091 Trafalgar StTeaneck, NJ 07666-1929 · (917) 751-2671

Phone(917) 751-2671

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 29, 2012

✔ NPI 1750641478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ayol Samuels M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820384829

PECOS Enrollment IDI20160830002967

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)