DR. SAM AYAD ISSA BDS, HDD
NPI 1720577505
Dentist in Brandon, FL

Q: What is Sam Issa's NPI number?

The NPI number for Sam Issa is 1720577505. It was assigned to this individual provider in the NPPES registry on May 7, 2018. The provider is also known as Dr. Osamah Ayad Alrifaie Dds.

Q: What is Sam Issa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Issa was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 07, 2018PECOS Enrolled

410 W BLOOMINGDALE AVE, BRANDON, FL 33511(813) 654-0037 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Sep 28, 2020, May 7, 2018 (3 updates tracked since 2018).

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About Dr. Sam Ayad Issa Bds, Hdd NPPES

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

DR. SAM AYAD ISSA BDS, HDD (NPI 1720577505) is an individual dentist in Brandon, Florida, licensed in Florida (DN25441) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720577505

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SAM AYAD ISSACredential: BDS, HDD

Location Address410 W BLOOMINGDALE AVEBrandon, FL 33511-7402

Mailing Address29809 Southwell LnWesley Chapel, FL 33543-4138 · (971) 205-0887

Phone(813) 654-0037

Sole ProprietorNo

Enumeration DateMay 7, 2018

Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1720577505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · DN25441✔ Licensed in WA · 61029044

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

410 W BLOOMINGDALE AVE, Brandon, FL 33511

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Other Names 1

Former Name (1)Dr. Osamah Ayad Alrifaie Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.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)

Dr. Sam Ayad Issa Bds, Hdd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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.

Other Providers at the Same Location NPPES 5

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

GARY SELBY DDS PA

Dentist (General Practice)