NPIMap

Individual provider Active NPI

Sharon Samuels, MD

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1235213091
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
196010 Issued in NY
Practice address
47 New Scotland Ave
Mail Code 61
Albany, NY 12208-3479
Phone
(518) 262-4896
NPI assigned
Oct 25, 2006
Last updated
Nov 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 196010 NY Primary
Surgical Critical Care Physician 2086S0102X 196010 NY

Addresses

Primary practice location

47 New Scotland Ave
Mail Code 61
Albany, NY 12208-3479

Mailing address

47 New Scotland Ave
Mail Code 61
Albany, NY 12208-3479
Phone (518) 262-4896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000533 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7810077286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgical Critical Care CurrentSince Dec 10, 2007 Accepting new patients
Albany Medical College CurrentSince Dec 10, 2007 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgery CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College CurrentSince Dec 10, 2007 Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Community Care Physicians, PLLC Surgery Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#162
Albany, NY 12208
Phone (518) 262-5963

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

618 Central Ave
Albany, NY 12206
Phone (518) 262-9700

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1235213091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE 61",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083479",
            "telephone_number": "518-262-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE 61",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083479",
            "telephone_number": "518-262-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "SHARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "196010",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "196010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.