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SAMIR KHOUZAM
NPI 1477180750
Student in an Organized Health Care Education/Training Program in Atlantis, FL

Active since March 25, 2020PECOS Enrolled
180 JFK DR STE 210, ATLANTIS, FL 33462(561) 548-1450(561) 548-1459 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samir Khouzam NPPES

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

SAMIR KHOUZAM (NPI 1477180750) is an individual student in an organized health care education/training program in Atlantis, Florida and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Broward Health North, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1477180750
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMIR KHOUZAM
Location Address180 JFK DR STE 210Atlantis, FL 33462-6641
Mailing Address5301 S Congress AveAtlantis, FL 33462-1149 · (561) 548-1450 · Fax (561) 548-1459
Phone(561) 548-1450
Fax(561) 548-1459
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1477180750 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.
180 JFK DR STE 210, Atlantis, FL 33462
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samir Khouzam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476975483
PECOS Enrollment IDI20250415002330
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health North

Acute Care Hospitals · Pompano Beach, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100086
Location201 E Sample RdPompano Beach, FL 33064 · Broward County
Emergency services

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100230
Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County
Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

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.

MRS. VIRGINIA VELEZ QUINONES MD
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 548-1450
AMRITANSHU BHARATKUMAR JOSHI
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 548-1450
FRANCESCO ALEXANDER FIUMARA
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 548-1450
AMAL BENCHAKROUN
Internal Medicine
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 548-1450
ELIZABETH Z ZAKKA MD
Internal Medicine
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 548-1450
ALEXANDRA NESSON MD
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 772-6578
KAILEE VICKARYOUS
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (954) 246-7421
NICHOLAS CHRISTIAN VON SASS MD
Student in an Organized Health Care Education/Training Program
180 JFK DR STE 210
ATLANTIS, FL 33462
Palm Beach County (561) 772-6578

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 Samir Khouzam's NPI number?

The NPI number for Samir Khouzam is 1477180750. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Samir Khouzam located?

Samir Khouzam practices at 180 Jfk Dr Ste 210, Atlantis, FL 33462. The listed phone number is (561) 548-1450.

What is Samir Khouzam's specialty?

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

Is Samir Khouzam enrolled in Medicare?

Yes. Samir Khouzam is registered in the Medicare PECOS enrollment system.

What insurance does Samir Khouzam accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Samir Khouzam 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.

Is Samir Khouzam affiliated with any hospitals?

According to CMS data, Samir Khouzam is affiliated with Broward Health North, Memorial Hospital Pembroke, Memorial Hospital West and Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Samir Khouzam was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.