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

Dr. Diane Iragena Shumbusho, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1457708802

Dr. Diane Iragena Shumbusho, MD practises Obstetrics/Gynecology in Watertown, New York. Qualified in 2016, 10 years ago. Practices with Samaritan Medical Center, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
10
Licensed in
NY, VA
In the registry since
2016
Specialties on file
2
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

1575 Washington St
Watertown, NY 13601-9371
Phone: (315) 785-4155
Fax: (315) 779-5066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 — (315) 779-5385

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 328335 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 0101264178 (VA)

Record details

NPI number1457708802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESApril 17, 2024
Certification dateMay 13, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $50 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Samaritan Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 158 clinicians in the practice; 12 are shown here.

Other providers in Watertown