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SAMUEL RUSSEL PETRIE MD
NPI 1780328377
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 21, 2022PECOS Enrolled
109 W 27TH ST RM 5S, NEW YORK, NY 10001(833) 351-8255(888) 815-3583 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Russel Petrie Md NPPES

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

SAMUEL RUSSEL PETRIE MD (NPI 1780328377) is an individual psychiatry provider in New York, New York, licensed in New York (341105-01) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780328377
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL RUSSEL PETRIECredential: MD
Location Address109 W 27TH ST RM 5SNew York, NY 10001-6208
Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (833) 351-8255 · Fax (888) 815-3583
Phone(833) 351-8255
Fax(888) 815-3583
Sole ProprietorNo
Enumeration DateApril 21, 2022
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1780328377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 341105-01
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
109 W 27TH ST RM 5S, New York, NY 10001
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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)

Samuel Russel Petrie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. KENNETH ZON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
MR. JOSEPH IRWIN FRIEDMAN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. SOPHIA ANNA MONSOUR DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
STEPHANIE NEGREY
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
AUSTIN BAILEY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. LAURENCE ERIC DOPKIN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (888) 815-3583
MS. MARY ALICE POUPON NPP
Nurse Practitioner (Psychiatric/Mental Health)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. SHILPIKA VARMA MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311

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 Petrie's NPI number?

The NPI number for Samuel Petrie is 1780328377. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Samuel Petrie located?

Samuel Petrie practices at 109 W 27th St Rm 5S, New York, NY 10001. The listed phone number is (833) 351-8255.

What is Samuel Petrie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Petrie enrolled in Medicare?

Yes. Samuel Petrie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Petrie was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.