SAMUEL HARRIS D.O.
NPI 1750813895
Internal Medicine in Sunrise, FL

Q: What is Samuel Harris's NPI number?

The NPI number for Samuel Harris is 1750813895. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Samuel Harris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Harris was last updated on June 8, 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.

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment

12651 W SUNRISE BLVD STE 202, SUNRISE, FL 33323(954) 838-8801(954) 838-8807 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2020, Mar 5, 2020, Mar 29, 2017 (3 updates tracked since 2017).

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About Samuel Harris D.o. NPPES

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

SAMUEL HARRIS D.O. (NPI 1750813895) is an individual internal medicine provider in Sunrise, Florida, licensed in Florida (OS15623) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2017).

NPPES Registry Identity

NPI1750813895

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSAMUEL HARRISCredential: D.O.

Location Address12651 W SUNRISE BLVD STE 202Sunrise, FL 33323-0906

Mailing Address2001 W 68th St, Ste 202Hialeah, FL 33016-1801 · (305) 364-2107 · Fax (305) 822-8347

Phone(954) 838-8801

Fax(954) 838-8807

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2017

Enumeration DateMarch 29, 2017

Last NPPES UpdateJune 8, 20203 updates tracked since enumeration

NPPES CertifiedJune 8, 2020

✔ NPI 1750813895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · OS15623

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

12651 W SUNRISE BLVD STE 202, Sunrise, FL 33323

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Samuel Harris D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557648060

PECOS Enrollment IDI20200611002518

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.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

609 services343 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

137 services137 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

99 services98 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

79 services76 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

67 services67 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

64 services64 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

62 services53 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

33 services29 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

23 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Broward Health Coral Springs

Acute Care Hospitals · Coral Springs, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100276

Location3000 Coral Hills DrCoral Springs, FL 33065 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33323 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

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 2

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

NIKKI JOSEPH

Family Medicine

12651 W SUNRISE BLVD STE 202
SUNRISE, FL 33323

Broward County (954) 838-8801

DR. CARLOS ENRIQUE BALLESTAS MD

Family Medicine

12651 W SUNRISE BLVD STE 202
SUNRISE, FL 33323

Broward County (954) 838-8801

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 Harris's NPI number?

The NPI number for Samuel Harris is 1750813895. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Samuel Harris located?

Samuel Harris practices at 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323. The listed phone number is (954) 838-8801.

What is Samuel Harris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Harris enrolled in Medicare?

Yes. Samuel Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Harris accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Samuel Harris 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 Samuel Harris affiliated with any hospitals?

According to CMS data, Samuel Harris is affiliated with Holy Cross Hospital, Boca Raton Regional Hospital and Broward Health Coral Springs.

When was this NPI record last updated?

The NPPES record for Samuel Harris was last updated on June 8, 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.