Bankole A. Samuel, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

270942 Issued in MA

Practice address

85 Lincoln Street
410
Framingham, MA 01702

Phone

(508) 820-1650

Fax

(508) 872-2796

NPI assigned

Jun 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

General Surgery

Education

University of Louisville School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent Hospital Hospital, Worcester, MA, CCN 220176
• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bankole.samuel.1@192.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
• Direct secure messaging: bankole.samuel.1@626.direct.athenahealth.com

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.

• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  Surgery

  Medicare reassignment Care Compare group NPD
• VHM Services, Inc.

  • Internal Medicine Physician
  • Framingham, MA
  • NPI 1508818618
  Medicare reassignment Care Compare group NPD
• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047
  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Medicare reassignment NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286
  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  • Hospitalist Physician
  • Gardner, MA
  • NPI 1205448701
  NPD
• Henry Heywood Memorial Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD
• Heywood Medical Group Inc

  • Urgent Care Clinic/Center
  • Athol, MA
  • NPI 1881123552
  NPD
• VHM Services Inc

  • Obstetrics & Gynecology Physician
  • Milford, MA
  • NPI 1760566350
  NPD
• VHS Acquisition Subsidiary Number 7 Inc

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1538131214
  NPD (past)
• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  NPD (past)

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

• VHS Acquisition Subsidiary Number 7 Inc

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1538131214
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1376838243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LINCOLN STREET",
            "address_2": "410",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-820-1650",
            "fax_number": "508-872-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LINCOLN STREET",
            "address_2": "410",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-820-1650",
            "fax_number": "508-872-2796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Southbridge St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015011323",
            "country_code": "US",
            "telephone_number": "508-832-5842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Leominster Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "MA",
            "postal_code": "015642114",
            "country_code": "US",
            "telephone_number": "978-422-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Leominster Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "MA",
            "postal_code": "015642156",
            "country_code": "US",
            "telephone_number": "978-422-7774",
            "fax_number": "978-422-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Shore Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053154",
            "country_code": "US",
            "telephone_number": "508-852-5230",
            "fax_number": "508-854-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Shore Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053154",
            "country_code": "US",
            "telephone_number": "508-856-0458",
            "fax_number": "866-217-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "BANKOLE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "270942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099405A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Iris Salvin, BSN RN
• Andrea Katharine Salzman, LICSW
• Judith Sama, PT
• Vivek Samnotra, MD
• Maria Geralda Sampaio
• Elizabeth Samuelson
• Daniel Sanchez Jr.
• Daniela Sanchez, RN
• Judith Sanchez, M.A.
• Walter Angel Sanchez

• Surgery Physician in Framingham, MA
• Providers in Framingham, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.