Samuel Cho, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

187204 Issued in NY

Practice address

15011 Northern Blvd
Flushing, NY 11354-3893

Phone

(718) 460-9640

Fax

(718) 460-1451

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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 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

Specialty

GastroenterologyAlso: Internal Medicine

Education

New York University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Cho, M.D., P.C.Group PAC ID 0648287961, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Samuel Cho, M.D., P.C.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1598954489
  Medicare reassignment Care Compare group NPD Authorized official
• Seo Jin Medical Care PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1851729636
  Medicare reassignment NPD
• Mirae Medical Care P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1326862723
  NPD Authorized official
• Sunshine Scientific Laboratory Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1588157846
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1801839501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15011 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543893",
            "telephone_number": "718-460-9640",
            "fax_number": "718-460-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "187204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01598558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaemoon Cho
• Joon Won Cho, PHARMD
• Jung Yeon Cho, RPH
• Kab Jae Cho, ACUPUNCTURIST
• Rye Rin Cho, LMHC
• Seong Chan Cho
• Yun Jae Cho, DO
• Dikki Choden, CRNA
• Choe Seong Joo Family Health NP PC
• Christine H Choe, DDS

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.