Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shaakir McIntosh-Samuel, MD

Individual provider Family Medicine Physician · NPI 1245976406

Shaakir McIntosh-Samuel, MD is a Family Practice in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with One Medical of Ny PC, a 72-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

445 Gold St Ste M110
Brooklyn, NY 11201-5177
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 338915 (NY)

Record details

NPI number1245976406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice One Medical Of Ny Pc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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