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NPISignal

Individual Healthcare Provider

Bishoy T Samuel, MD

NPI Record: ActivePsychiatry & Neurology — Addiction Medicine
NPI1659506624
Center City, Minnesota

Provider's NPPES record last updated: June 21, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1659506624
Primary Specialty
Psychiatry & Neurology — Addiction Medicine
Practice Location
Center City, Minnesota
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 5:06 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Preventive Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

    Taxonomy code 2083A0300X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Psychiatry & Neurology (Minnesota)
76576
Preventive Medicine (Virginia)
0101274943
General Practice (Alabama)
34453
General Practice (California)
A148818
General Practice (Mississippi)
T-3860
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

15251 Pleasant Valley Rd

Center City, Minnesota 55012-9640

Phone: (877) 793-5205

Record Information

Enumeration Date
May 20, 2009
Provider's NPPES Record Last Updated
June 21, 2024
Certification Date
June 21, 2024
NPISignal NPPES Dataset
August 2026

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