SAMUEL DEFIGARELLI I M.D.
NPI 1083097406
General Practice in Lakeland, FL

Q: What is Samuel Defigarelli's NPI number?

The NPI number for Samuel Defigarelli is 1083097406. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Samuel Defigarelli's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 02, 2015PECOS Enrolled

1129 N MISSOURI AVE, LAKELAND, FL 33805(866) 234-8534 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, May 6, 2021 (2 updates tracked since 2021).

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About Samuel Defigarelli I M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DEFIGARELLI I M.D. (NPI 1083097406) is an individual general practice provider in Lakeland, Florida, licensed in Florida (ME149910) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1083097406

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameSAMUEL DEFIGARELLI ICredential: M.D.

Location Address1129 N MISSOURI AVELakeland, FL 33805-4411

Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534

Phone(866) 234-8534

Sole ProprietorYes

Enumeration DateJuly 2, 2015

Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration

NPPES CertifiedMarch 24, 2023

✔ NPI 1083097406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME149910

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1129 N MISSOURI AVE, Lakeland, FL 33805

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Secondary Practice Location 1

Location 147 5th St NWWinter Haven, FL 33881-4672 · Phone (866) 234-8534

Other Identifiers 1

Medicaid117378300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Defigarelli I M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN C BARNES ARNP

Nurse Practitioner (Family)