Dr Shawn Kunjumon Samuel, DO, MS - Medicare Internal Medicine in Bronx, NY

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Dr Shawn Kunjumon Samuel, DO, MS is a medicare enrolled "Hospitalist" physician in Bronx, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Montefiore Medical Center, Cogent Medical Care Pc and his current practice location is 1825 Eastchester Rd, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 904-2400.

Dr Shawn Kunjumon Samuel is licensed to practice in New York (license number 239243) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1649366204.

Contact Information

Dr Shawn Kunjumon Samuel, DO, MS
1825 Eastchester Rd,
Bronx, NY 10461-2301
(718) 904-2400
(718) 904-2827

Map and Direction




Physician's Profile

Full NameDr Shawn Kunjumon Samuel
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location1825 Eastchester Rd, Bronx, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shawn Kunjumon Samuel attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2002
  NPI Data:
  • NPI Number: 1649366204
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 02/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456358027
  • Enrollment ID: I20061025000348

Medical Identifiers

Medical identifiers for Dr Shawn Kunjumon Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649366204NPI-NPPES
02811374MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 239243 (New York)Secondary
208M00000XHospitalist 239243 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Medical CenterBronx, NYHospital
Montefiore Mount Vernon HospitalMount vernon, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Montefiore Medical Center37794960212071
Cogent Medical Care Pc7315836780164

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shawn Kunjumon Samuel allows following entities to bill medicare on his behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameSound Physicians Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174962245
PECOS PAC ID: 8628202231
Enrollment ID: O20131015001809
Entity NamePrestige Medical Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689083826
PECOS PAC ID: 9931472495
Enrollment ID: O20170905001295
Entity NameHospitalist Medicine Physician Of New York - Nyack Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083193262
PECOS PAC ID: 4486987302
Enrollment ID: O20190610000122
Entity NameBridge Rx Pharmacy Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477118578
PECOS PAC ID: 1355776964
Enrollment ID: O20230221000661
Entity NameBridge Medical Care P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750144531
PECOS PAC ID: 3072950138
Enrollment ID: O20240325002401

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shawn Kunjumon Samuel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shawn Kunjumon Samuel, DO, MS
102 Mountain Ave,
New Rochelle, NY 10804-4722

Ph: (914) 269-8777		Dr Shawn Kunjumon Samuel, DO, MS
1825 Eastchester Rd,
Bronx, NY 10461-2301

Ph: (718) 904-2400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.