DR. SUMITA SUSAN SAM DDS
NPI 1326561200
Dentist - Oral and Maxillofacial Pathology in Gainesville, FL

Q: What is Sumita Sam's NPI number?

The NPI number for Sumita Sam is 1326561200. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Sumita Sam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: When was this NPI record last updated?

The NPPES record for Sumita Sam was last updated on March 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 21, 2017PECOS Enrolled

1395 CENTER DR RM D8-6, GAINESVILLE, FL 32610(352) 273-6703 Get Directions Write a Review

NPPES record last updated: March 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2024, Sep 29, 2021, Mar 17, 2021 and 2 more (5 updates tracked since 2017).

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About Dr. Sumita Susan Sam Dds NPPES

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

DR. SUMITA SUSAN SAM DDS (NPI 1326561200) is an individual oral and maxillofacial pathology provider in Gainesville, Florida, licensed in Florida (DTP805) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1326561200

Entity TypeIndividualFemale

Primary Taxonomy1223P0106X

Provider Legal NameDR. SUMITA SUSAN SAMCredential: DDS

Location Address1395 CENTER DR RM D8-6Gainesville, FL 32610-3006

Mailing AddressPo Box 100414Gainesville, FL 32610-0414 · (352) 273-6695 · Fax (352) 294-5310

Phone(352) 273-6703

Sole ProprietorNo

Enumeration DateJuly 21, 2017

Last NPPES UpdateMarch 9, 20245 updates tracked since enumeration

NPPES CertifiedMarch 9, 2024

✔ NPI 1326561200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in FL · DTP805

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 291022390 (MI)

1395 CENTER DR RM D8-6, Gainesville, FL 32610

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3006 · Phone (352) 273-6695 · Fax (352) 294-5310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sumita Susan Sam Dds 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.

Medicare Billing Reassignments

Medicare enrollment records show Sumita Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Associates Incorporated

0.1 mi

Dentist

1600 SW ARCHER RD, D4-6
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1255383550 (352) 273-6700

Florida Clinical Practice Association Inc

0.1 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

346 services320 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

48 services47 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently 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 Sumita Sam's NPI number?

The NPI number for Sumita Sam is 1326561200. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Sumita Sam located?

Sumita Sam practices at 1395 Center Dr Rm D8-6, Gainesville, FL 32610. The listed phone number is (352) 273-6703.

What is Sumita Sam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Sumita Sam enrolled in Medicare?

Yes. Sumita Sam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sumita Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumita Sam reassigns Medicare benefits to 2 organizations: Faculty Associates Incorporated (Gainesville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). Each 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 Sumita Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumita Sam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Sumita Sam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sumita Sam was last updated on March 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.