MR. SAMUEL ALFRED SHAHIDI M.S., PA-C
NPI 1922314632
Physician Assistant - Surgical in Bronx, NY

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
234 E 149TH ST, BRONX, NY 10451(718) 579-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samuel Alfred Shahidi M.s., Pa-c NPPES

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

MR. SAMUEL ALFRED SHAHIDI M.S., PA-C (NPI 1922314632) is an individual surgical provider in Bronx, New York, licensed in New York (014108) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Rutgers New Jersey Medical School (2010).

NPPES Registry Identity

NPI1922314632
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. SAMUEL ALFRED SHAHIDICredential: M.S., PA-C
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address515 Lindberg AveCliffside Park, NJ 07010-2203 · (201) 840-9654
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010
Enumeration DateAugust 19, 2010
NPI 1922314632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 014108
234 E 149TH ST, Bronx, NY 10451

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Alfred Shahidi M.s., Pa-c 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.

PECOS PAC ID345418398
PECOS Enrollment IDI20110719000549
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

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.

Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Dermatology
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451

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 Shahidi's NPI number?

The NPI number for Samuel Shahidi is 1922314632. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Samuel Shahidi located?

Samuel Shahidi practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Samuel Shahidi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samuel Shahidi enrolled in Medicare?

Yes. Samuel Shahidi 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.

Is Samuel Shahidi affiliated with any hospitals?

According to CMS data, Samuel Shahidi is affiliated with Lincoln Medical & Mental Health Center.

When was this NPI record last updated?

The NPPES record for Samuel Shahidi was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.