1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. SAMUEL SERAG M.D.
NPI 1780125104
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since March 17, 2017PECOS Enrolled
21 COLUMBIA ST STE 102, ORLANDO, FL 32806(407) 841-5145(407) 841-5101 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Serag M.d. NPPES

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

DR. SAMUEL SERAG M.D. (NPI 1780125104) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780125104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL SERAGCredential: M.D.
Location Address21 COLUMBIA ST STE 102Orlando, FL 32806-1133
Mailing Address21 Columbia St Ste 102Orlando, FL 32806-1133 · (407) 841-5145 · Fax (407) 841-5101
Phone(407) 841-5145
Fax(407) 841-5101
Sole ProprietorNo
Enumeration DateMarch 17, 2017
✔ NPI 1780125104 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.
21 COLUMBIA ST STE 102, Orlando, FL 32806
Open in Google Maps ↗

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. Samuel Serag M.d. 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.

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.

DR. GISELLE CASTANEIRA M.D.
Internal Medicine
21 COLUMBIA ST STE 102
ORLANDO, FL 32806
Orange County (407) 841-5145
DR. HUY LE M.D.
Internal Medicine
21 COLUMBIA ST STE 102
ORLANDO, FL 32806
Orange County (407) 841-5145

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 Serag's NPI number?

The NPI number for Samuel Serag is 1780125104. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Samuel Serag located?

Samuel Serag practices at 21 Columbia St Ste 102, Orlando, FL 32806. The listed phone number is (407) 841-5145.

What is Samuel Serag'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 Serag enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Serag was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.