Davis Russal Samuel, D.O.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

OS019189 Issued in PA

Practice address

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Phone

(516) 572-0123

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

New York College of Osteo Medicine of New York Institute of Technology, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Critical Care Physicians of Pennsylvania PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Darby, PA
  • NPI 1952670085
  Medicare reassignment Care Compare group NPD
• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1023376274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 BLOOMFIELD PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154506",
            "telephone_number": "267-879-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "DAVIS",
        "middle_name": "RUSSAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS019189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashby Sam
• Majid Samad, M.D.
• Yasmina Samaha
• Dulani Samarappuli
• Andrew Sami, DDS
• Eileen Samuel
• George Samuel, M.S., CCC , SLP
• Steven Samuel, D.O.
• Elliot E Sanchez
• Janneth Sanchez, COTA

• Critical Care Medicine (Internal Medicine) Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Critical Care Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.