JOSHUA JOHN SAMUEL (M.D.) – Pulmonary Disease Physician, NPI 1902149263
Pulmonary Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,780 PULMONARY DISEASE in CA
Provider Addresses for JOSHUA JOHN SAMUEL (M.D.)
20101 Lake Chabot Rd Fl 4
Castro Valley, CA 945465305
Phone: (510) 204-1844
Fax: (510) 508-7729
Type: Location
653-1 W 8th St
4th Floor, LRC Box L15
Jacksonville, FL 322096511
Phone: (904) 244-3140
Fax: (904) 244-4771
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (510) 204-1844
Fax: (510) 273-8911
Type: Mailing
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 947051159
Phone: (510) 504-1844
Fax: (510) 273-8911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191104001689 | I | Pulmonary Disease | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
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