Active NPI
Fania Samuels, MD
- Clinical Cardiac Electrophysiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD042597E
- Practice address
- 10160 Bustleton Ave
Suite C
Philadelphia, PA 19116-3749 - Phone
- (215) 671-3920
- Fax
- (215) 671-3939
- NPI assigned
- Feb 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD042597E | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD042597E | PA | Primary |
Addresses
Primary practice location
10160 Bustleton Ave
Suite C
Philadelphia, PA 19116-3749
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-0001
Phone (215) 671-3920
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0833050000 | Other | PA | KEYSTONE IBC |
| 30133381 | Other | PA | KEYSTONE FIRST |
| 8692853 | Other | PA | AETNA |
| 0015494060015 | Medicaid | PA | |
| 806944 | Other | PA | HIGHMARK BLUE SHIELD |
| 001549406 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Hahnemann Medical College and Hospital - Kansas City - NLG, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 537-5094
Hospital & facility affiliations
- Jefferson Health- Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients |
Locations
240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
10160 Bustleton Ave
Ste C
Philadelphia, PA 19116
Phone (215) 671-3920
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
10160 Bustleton Ave
Ste A
Philadelphia, PA 19116
Phone (215) 364-0777
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Internal Medicine Physician
- Fairless Hills, PA
- NPI 1760868582
-
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1255305017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-671-3920",
"fax_number": "215-671-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 BUSTLETON AVE",
"address_2": "SUITE C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163749",
"telephone_number": "215-671-3920",
"fax_number": "215-671-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "FANIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-16",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD042597E",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD042597E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0833050000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE FIRST",
"identifier": "30133381",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8692853",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015494060015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "806944",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001549406",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.