Individual provider Active NPI

Marie Sophia Samuels, MD

  • Emergency Medicine Physician
  • Galveston, TX
National Provider Identifier
1740449594
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10031979 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-1173
Phone
(409) 772-7118
Fax
(409) 772-9068
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10031979 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-1173

Mailing address

301 University Blvd
Galveston, TX 77555-1173
Phone (409) 772-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, FL, MD5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120906000155 NJ Practitioner - Emergency Medicine 6103073663 Reassigns benefits to 2 organizations
I20141217000522 NY Practitioner - Emergency Medicine 6103073663 Reassigns benefits to 7 organizations
I20250716002104 PA Practitioner - Emergency Medicine 6103073663 Reassigns benefits to 2 organizations
I20260507002882 FL Practitioner - Emergency Medicine 6103073663 Reassigns benefits to 1 organization
I20260604001536 MD Practitioner - Emergency Medicine 6103073663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Drexel University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Service Associates PAGroup PAC ID 8224024716, 27 clinicians

Practice addresses (Care Compare)

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-9630

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271627NYMDLicensed Practical Nurse
BP10031979TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 19, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Wyckoff Emergency Medicine Services, P.C. Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jul 8, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jul 8, 2025 Accepting new patients
Delaware River Medicine, PLLC Emergency Medicine CurrentSince Oct 13, 2021 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Oct 15, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Mar 3, 2024 Accepting new patients
Montefiore Medical Center Emergency Medicine CurrentSince Mar 3, 2024 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Sep 18, 2019 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 7, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Park Hill Emergency Physician Services Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 4, 2026 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Geisinger Clinic CurrentSince Jul 8, 2025 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

193 W 237th St
Bronx, NY 10463
Phone (718) 303-0479

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

111 E 210th St
Bronx, NY 10467

374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: msamuels2736351@direct.trinity-health.org
  • Direct secure messaging: marie.samuels.1@2983.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1740449594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551173",
            "telephone_number": "409-772-7118",
            "fax_number": "409-772-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551173",
            "telephone_number": "409-772-7118",
            "fax_number": "409-772-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "MARIE",
        "middle_name": "SOPHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10031979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.