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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: July 19, 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
Phone(718) 579-5000
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
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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 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 2024 & 2026 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, 20-29 minutes 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.
32 services25 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.

DR. PAOLA CARUGNO MD
Pediatrics (Neurodevelopmental Disabilities)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5800
ANDREW ALAN BURGER MD
Psychiatry & Neurology (Neurology)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6027
GEORGE TRISTER M.D.
Anesthesiology
234 E 149TH ST, LINCOLN HOSP, DEPT OF ANESTHESIA, SUITE2B1
BRONX, NY 10451
Bronx County (718) 579-5717
MICHAEL F BOTHWELL P.A.
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5900
DR. DAVID P AKMAN M.D.
Internal Medicine (Cardiovascular Disease)
234 E 149TH ST, LINCOLN HOSPITAL, DEPT. OF MEDICINE
BRONX, NY 10451
Bronx County (718) 579-5000
DR. AMY HOFFMAN MD
Psychiatry & Neurology (Psychiatry)
234 E 149TH ST, SUITE 8D-200
BRONX, NY 10451
Bronx County (718) 579-4862
SHUYAN ALEX WONG P.T. M.A. DPT
Physical Therapist
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5651
DR. AUBREY LOWELL FREIBERG D.O.
Radiology (Radiation Oncology)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-4655

Frequently Asked Questions

What is Samuel Shahidi's NPI number?

The NPI number assigned to this healthcare provider is 1922314632, enumerated as an "individual" on August 19, 2010.

Where is the provider located?

The provider is located at 234 E 149TH ST BRONX, NY 10451 and the phone number is (718) 579-5000.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Is Samuel Shahidi affiliated with any hospitals?

Samuel Shahidi is affiliated with: LINCOLN MEDICAL & MENTAL HEALTH CENTER.