SAMPLE MEDICAL CENTER, P.A.
NPI 1043775976
Family Medicine in Margate, FL
About Sample Medical Center, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMPLE MEDICAL CENTER, P.A. (NPI 1043775976) is a healthcare organization registered as a family medicine in Margate, Florida and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Neena R Gupta, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sample Medical Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sample Medical Center, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2339003
Sample Medical Center PA · Margate, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sample Medical Center, P.A.'s NPI number?
The NPI number for Sample Medical Center, P.A. is 1043775976. It was assigned to this organization in the NPPES registry on February 5, 2019.
Where is Sample Medical Center, P.A. located?
Sample Medical Center, P.A. is located at 5596 W Sample Rd, Margate, FL 33073. The listed phone number is (954) 968-4000.
What is Sample Medical Center, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sample Medical Center, P.A. enrolled in Medicare?
Yes. Sample Medical Center, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sample Medical Center, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sample Medical Center, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sample Medical Center, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2339003) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sample Medical Center, P.A. was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sample Medical Center, P.a. · NPI 1043775976
Family Medicine organization in Margate, Florida. Organization record, active in the CMS NPPES registry since February 5, 2019.
## Identity
- **NPI:** 1043775976 (Entity type: Organization)
- **Enumerated:** February 5, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Neena Gupta, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 5596 W SAMPLE RD, Margate, FL 33073-3423
- **Phone:** (954) 968-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043775976) · Data from the CMS NPPES public registry.