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: July 26, 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
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

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

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 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.

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.

Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Anesthesiology
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # S8B12
BALTIMORE, MD 21201

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.

When was this NPI record last updated?

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