PAULINE M. SAMUELS, M.D., PC – Internal Medicine Physician, NPI 1356367254

PAULINE M. SAMUELS, M.D., PC is a healthcare provider. based in Drexel hill, Pennsylvania. specializing in Internal Medicine Physician. The organization holds a License No. MD956958L (PA). The NPI Number for PAULINE M. SAMUELS, M.D., PC is 1356367254

Main info

Organization
Name
PAULINE M. SAMUELS, M.D., PC
NPI
1356367254
Phone
(610) 394-6666
Address
3712 GARRETT RD
Authorized Official
PAULINE M SAMUELS PRESIDENT M.D.
Enumeration Date
14 July 2006
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PAULINE M. SAMUELS, M.D., PC

  • 3712, Garrett Road, Drexel Hill, Upper Darby, Delaware County, Pennsylvania, 19026, United States

    DREXEL HILL, PA 190263505

    Phone: (610) 394-6666

    Fax: (610) 394-6667

    Mailing address matches the actual address.

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: 2011-02-02

PECOS data refreshed: 2026-06-15

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
O20110202000048OClinic/Group PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19026)

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Reviews

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Frequently asked questions

Does PAULINE M. SAMUELS, M.D., PC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAULINE M. SAMUELS, M.D., PC uses 1356367254.
Can I rely on PAULINE M. SAMUELS, M.D., PC being an active provider?
As of the registry snapshot, PAULINE M. SAMUELS, M.D., PC is marked active.
What is PAULINE M. SAMUELS, M.D., PC's specialty?
The listing groups PAULINE M. SAMUELS, M.D., PC with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PAULINE M. SAMUELS, M.D., PC?
PAULINE M. SAMUELS, M.D., PC's geographic hint is Drexel Hill, Pennsylvania in our summary view.
Why does PAULINE M. SAMUELS, M.D., PC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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