Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dias Samuel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760913636

Dias Samuel is an Internal Medicine in Johnson City, New York. Qualified in 2017, 9 years ago. Practices with United Medical Associates PC, a 232-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 305645 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760913636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address33 Lewis Rd, Binghamton, NY 13905-1048

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City