SAMUEL ABUMOUSSA
NPI 1831628049
Orthopaedic Surgery in Doral, FL

NPI Status: Active since June 09, 2017

Contact Information

3650 NW 82ND AVE STE 201
DORAL, FL
ZIP 33166
Phone: (305) 537-7272

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled

About SAMUEL ABUMOUSSA

This page provides the complete NPI Profile along with additional information for Samuel Abumoussa, a provider established in Doral, Florida with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1831628049 assigned on June 2017. The practitioner's primary taxonomy code is 207X00000X with license number ME151908 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1831628049
Provider Name
SAMUEL ABUMOUSSA
Gender
Male
Entity Type
Individual
Location Address
3650 NW 82ND AVE STE 201 DORAL, FL 33166
Location Phone
(305) 537-7272
Mailing Address
3650 NW 82ND AVE STE 201 DORAL, FL 33166
Mailing Phone
(305) 537-7272
Is Sole Proprietor?
No
Enumeration Date
06-09-2017
Last Update Date
10-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME151908
License State
FL
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Medicare Participation & PECOS Enrollment Status

Samuel Abumoussa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA023N)

    Collagen based wound filler, dry form, sterile, per gram of collagen (HCPCS:A6010)

    1 DME suppliers used 89 Medicare Claims 10650 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Collagen dressing, sterile, size 16 sq. in. or less, each (HCPCS:A6021)

    1 DME suppliers used 98 Medicare Claims 8698 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing (HCPCS:A6238)

    1 DME suppliers used 96 Medicare Claims 8640 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33166 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.13
  • Minimum New Patient Price $60.92
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $24.03
  • Minimum New Patient Copayment $15.23
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.86
  • Minimum Established Patient Price $18.99
  • Maximum Established Patient Price $150.24
  • Average Established Patient Copayment $18.96
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.56

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for SAMUEL ABUMOUSSA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831628049, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 1 + 2 + 2 + 1 + 6 + 0 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1831628049.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Hand Surgery)
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Orthopaedic Surgery (Sports Medicine)
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Dermatology
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Physician Assistant (Surgical)
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Physician Assistant
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Orthopaedic Surgery (Hand Surgery)
3650 NW 82ND AVE STE 201
DORAL, FL 33166
Anesthesiology (Pain Medicine)
3650 NW 82ND AVE STE 201
DORAL, FL 33166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831628049, enumerated as an "individual" on June 09, 2017.

The provider is located at 3650 NW 82ND AVE STE 201 DORAL, FL 33166 and the phone number is (305) 537-7272.

Orthopaedic Surgery with taxonomy code 207X00000X.