Individual provider Active NPI

Samy Lasheen, MD

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1184662645
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
224512 Issued in NY
Practice address
5024 10TH Ave # 1F
Brooklyn, NY 11219-3379
Phone
(718) 435-6441
Fax
(718) 435-6741
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 224512 NY
Pain Medicine Physician 208VP0000X 224512 NY Primary

Addresses

Primary practice location

5024 10TH Ave # 1F
Brooklyn, NY 11219-3379

Mailing address

5024 10TH Ave # 1F
Brooklyn, NY 11219-3379
Phone (718) 435-6441

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
I20040412000955 NY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2668466806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Managment of Boro Park PCGroup PAC ID 9133254212, 2 clinicians

Practice addresses (Care Compare)

5024 10TH Ave
1F
Brooklyn, NY 11219-3379
Phone (718) 435-6441

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Pain Managment of Boro Park PC Pain Medicine CurrentSince Dec 15, 2009 Accepting new patients
Anesthesiology Consultant of Brooklyn, P.C. CurrentSince Oct 10, 2016 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Anesthesiology PastSince Dec 21, 2009 Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients

Locations

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

5024 10th Ave
#1F
Brooklyn, NY 11219
Phone (718) 435-6441

983 51st St
Brooklyn, NY 11219
Phone (718) 435-4944

5024 10th Ave
Brooklyn, NY 11219

Networks

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

Interoperability endpoints

  • Direct secure messaging: samylasheen@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1184662645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 10TH AVE # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193379",
            "telephone_number": "718-435-6441",
            "fax_number": "718-435-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 10TH AVE # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193379",
            "telephone_number": "718-435-6441",
            "fax_number": "718-435-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHEEN",
        "first_name": "SAMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "224512",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "224512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.