DR. DAVIS RUSSAL SAMUEL (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1023376274

DR. DAVIS RUSSAL SAMUEL (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. OS019189 (PA). The NPI Number for DR. DAVIS RUSSAL SAMUEL (D.O.) is 1023376274

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVIS RUSSAL SAMUEL (D.O.)
NPI
1023376274
Phone
(267) 879-0970
Address
8902 BLOOMFIELD PL
Enumeration Date
25 April 2012
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8662127753
Graduation Year
2012 (14 years ago)
PAC ID
8628325784
Group Practice PAC ID
2466610498
Professional Enrollment ID
I20180719002771
Address ID
PA190231200DA1500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,507 HOSPITALIST in NY

Provider Addresses for DR. DAVIS RUSSAL SAMUEL (D.O.)

  • 8902 BLOOMFIELD PL

    PHILADELPHIA, PA 191154506

    Phone: (267) 879-0970

    Type: Mailing

  • 2201 HEMPSTEAD TPKE

    EAST MEADOW, NY 115541859

    Phone: (516) 572-0123

    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: 2018-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180719002771IHospitalistPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes8668$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
99292Critical care, each additional 30 minutes2217$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2017$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2014$0
View full utilization report →

Insurance plans in this area (ZIP 19115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466610498View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineNJ
Physician AssistantPA
-NJ
Emergency Medicine, Internal MedicinePA
Physician AssistantPA
Nurse PractitionerPA
-PA
Emergency Medicine, Critical Care (Intensivists)PA
Pulmonary Disease, Critical Care (Intensivists)KY
Physician AssistantPA

Reviews

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Frequently asked questions

Does DR. DAVIS RUSSAL SAMUEL (D.O.) have a public NPI I can cite?
Public records show DR. DAVIS RUSSAL SAMUEL (D.O.) under NPI 1023376274.
Does the public listing show DR. DAVIS RUSSAL SAMUEL (D.O.) as active?
DR. DAVIS RUSSAL SAMUEL (D.O.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DAVIS RUSSAL SAMUEL (D.O.)?
NPPES ties DR. DAVIS RUSSAL SAMUEL (D.O.) to Critical Care Medicine (Internal Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. DAVIS RUSSAL SAMUEL (D.O.) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, DR. DAVIS RUSSAL SAMUEL (D.O.) may be relevant to your search.
Who maintains DR. DAVIS RUSSAL SAMUEL (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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