Individual provider Active NPI

Tanyka Sam, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1164653416
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271647 Issued in NY
Practice address
8923 Flatlands Ave
Brooklyn, NY 11236-3613
Phone
(718) 765-6000
Fax
(347) 436-9621
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271647 NY Primary

Addresses

Primary practice location

8923 Flatlands Ave
Brooklyn, NY 11236-3613

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (833) 804-1695

Other practice location 1

1249 Nostrand Ave
Brooklyn, NY 11225-3844
Phone (718) 765-6008

Other practice location 2

1530 Bedford Ave Fl 2
Brooklyn, NY 11216-4117
Phone (917) 588-4798

Other identifiers 1

IdentifierTypeStateIssuer
038799100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016000584 NY Practitioner - Internal Medicine 3072796374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
271647NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rushing Waters Medical, PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Oak Street Health of New York Medical Group PC Internal Medicine CurrentSince Oct 21, 2025 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients

Locations

8923 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 765-6000

1530 Bedford Ave
Fl 2
Brooklyn, NY 11216
Phone (347) 888-9138

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

1530 Bedford Ave
#2
Brooklyn, NY 11216
Phone (347) 404-6508

1530 Bedford Ave
Ste 2
Brooklyn, NY 11216

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: tsam3830768@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1164653416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "833-804-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363613",
            "telephone_number": "718-765-6000",
            "fax_number": "347-436-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112253844",
            "country_code": "US",
            "telephone_number": "718-765-6008",
            "fax_number": "347-682-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Bedford Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164117",
            "country_code": "US",
            "telephone_number": "917-588-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "TANYKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038799100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.