DR. SAMUEL DANIEL (MD) – Gastroenterology Physician, NPI 1083622716

DR. SAMUEL DANIEL (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD2023-1424 (NM). The NPI Number for DR. SAMUEL DANIEL (MD) is 1083622716

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL DANIEL (MD)
NPI
1083622716
Phone
(212) 690-0303
Address
PO BOX 95000-4145
Enumeration Date
5 August 2006
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2129873100
Graduation Year
1978 (48 years ago)
PAC ID
5395658470
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20031106000322

Contacts

Secure Messaging
samuel.daniel@tidelandshealth.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

2,033 GASTROENTEROLOGY in NY

Provider Addresses for DR. SAMUEL DANIEL (MD)

  • PO BOX 95000-4145

    PHILADELPHIA, PA 191950001

    Phone: (212) 690-0303

    Type: Mailing

  • 2771 Frederick Douglass Blvd

    Ground Floor

    New York, NY 100393027

    Phone: (212) 690-0303

    Type: Location

  • 16 3rd St Ste A

    Malone, NY 129531367

    Phone: (518) 481-2401

    Type: Location

  • PO BOX 421718

    GEORGETOWN, SC 294424203

    Phone: (843) 527-7000

    Type: Mailing

  • 4040 HIGHWAY 17 UNIT 302

    MURRELLS INLET, SC 295765098

    Phone: (843) 652-8290

    Fax: (843) 652-8299

    Type: Location

  • 2200 Crow Ln Ste 302

    Myrtle Beach, SC 295771663

    Phone: (843) 848-5320

    Fax: (843) 652-8299

    Type: Location

  • 606 Black River Rd Ste 300

    Georgetown, SC 294403304

    Phone: (843) 652-8290

    Fax: (843) 546-8216

    Type: Location

  • 606 Black River Rd Ste 301

    Georgetown, SC 294403304

    Phone: (843) 527-3428

    Fax: (843) 546-8216

    Type: Location

  • 2200 Crow Ln Ste 102

    Myrtle Beach, SC 295771663

    Phone: (843) 848-5120

    Fax: (843) 848-5125

    Type: Location

  • 2771, Frederick Douglass Boulevard, Harlem, Manhattan Community Board 10, Manhattan, New York County, New York, 10039, United States

    GROUND FLOOR

    NEW YORK, NY 100393027

    Phone: (212) 690-0303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($57).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20031106000322IGastroenterologyNYTBD
I20231031003522IGastroenterologyNMTBD
I20250411003404IGastroenterologySCTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2116$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1911$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
45380Biopsy of large bowel using a flexible endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 19195)

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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: 2264691070View full group profile
NameSpecialtyState
-NY
P S Y C H I A T R YNY
E N D O C R I N O L O G YFL
-NY
Internal Medicine, GastroenterologyNY
-NY
P S Y C H I A T R YNY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Physician AssistantNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What federal number belongs to DR. SAMUEL DANIEL (MD)?
The federal identifier for DR. SAMUEL DANIEL (MD) is NPI 1083622716.
Does this profile mean DR. SAMUEL DANIEL (MD) is currently active?
Yes — DR. SAMUEL DANIEL (MD) appears active in the national provider directory.
What kind of provider is DR. SAMUEL DANIEL (MD)?
The page reflects Gastroenterology Physician for DR. SAMUEL DANIEL (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SAMUEL DANIEL (MD)?
The snapshot lists Philadelphia, Pennsylvania for DR. SAMUEL DANIEL (MD); download NPPES for the complete set.
What if Philadelphia, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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