DR. SHAWN KUNJUMON SAMUEL (DO, MS) – Hospitalist Physician, NPI 1649366204
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,308 PHYSICAL MEDICINE AND REHABILITATION in NY
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Provider Addresses for DR. SHAWN KUNJUMON SAMUEL (DO, MS)
102 MOUNTAIN AVE
NEW ROCHELLE, NY 108044722
Phone: (914) 269-8777
Fax: (888) 300-0458
Type: Mailing
PO BOX 27842
NEW YORK, NY 10087
Phone: (718) 670-1651
Fax: (516) 437-4167
Type: Mailing
NewYork-Presbyterian/Queens, 56-45, Main Street, Queens, New York, 11355, United States
ROOM # 637
FLUSHING, NY 11355
Phone: (718) 670-1424
Fax: (516) 437-4167
Type: Location
1825 EASTCHESTER RD
BRONX, NY 104612301
Phone: (718) 904-2400
Fax: (718) 904-2827
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,664.
Total Amount is formed as General ($1,664) + Research ($0) + Ownership ($0) = $1,664.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novo Nordisk Inc ($766).
Total Amount
$1,664
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $766 |
| Alkermes, Inc. | $360 |
| Amgen Inc. | $150 |
| HARMONY BIOSCIENCES LLC | $125 |
| Phathom Pharmaceuticals, Inc. | $124 |
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: 2014-05-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061025000348 | I | Physical Medicine And Rehabilitation | NY | TBD |
| I20140523001274 | I | Internal Medicine | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 254 | 108 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 228 | 110 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | 100 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 102 | 96 | $0 |
Insurance plans in this area (ZIP 10804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| Internal Medicine | NJ | |
| Nurse Practitioner | NY | |
| Hospitalist, Internal Medicine | NY | |
| Internal Medicine | NJ | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Internal Medicine | NY |
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