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SAMUEL JEFFREY GAVZY MD
NPI 1336608181
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 19, 2019PECOS Enrolled
22 S GREENE ST # S8B12, BALTIMORE, MD 21201(410) 328-6713 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Jeffrey Gavzy Md NPPES

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

SAMUEL JEFFREY GAVZY MD (NPI 1336608181) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2019).

NPPES Registry Identity

NPI1336608181
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL JEFFREY GAVZYCredential: MD
Location Address22 S GREENE ST # S8B12Baltimore, MD 21201-1590
Mailing Address22 S Greene St # S8b12Baltimore, MD 21201-1590
Phone(410) 328-6713
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2019
Enumeration DateMarch 19, 2019
✔ NPI 1336608181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22 S GREENE ST # S8B12, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Jeffrey Gavzy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224360045
PECOS Enrollment IDI20260519002000
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 Reassignment

Medicare enrollment records show Samuel Gavzy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
900 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Other Providers at the Same Location NPPES 11

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

JOHN JACOB NEWLAND MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
MS. ALWAFAA KHATIB M.D.
Anesthesiology
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
DR. MICHAEL YONEKUNI UOHARA MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
YAZEED NOOH ALMOSA
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
DR. ACE JOSEPH ST. JOHN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
GEORG JOHANN FURTMUELLER MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
DR. ELLIOT GIULIO MOORE MD
Surgery
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713
DR. HILARY ANNE HAYSSEN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Baltimore City (410) 328-6713

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 Samuel Gavzy's NPI number?

The NPI number for Samuel Gavzy is 1336608181. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Samuel Gavzy located?

Samuel Gavzy practices at 22 S Greene St # S8b12, Baltimore, MD 21201. The listed phone number is (410) 328-6713.

What is Samuel Gavzy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Gavzy enrolled in Medicare?

Yes. Samuel Gavzy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Gavzy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gavzy reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Samuel Gavzy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Gavzy was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.