Sam A Skaff, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME102179 Issued in FL

Practice address

1951 SW 172ND Ave Ste 417
Miramar, FL 33029

Phone

(954) 255-7827

Fax

(954) 499-7960

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9179/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Star Pediatric Care ,PA

  • Pediatrics Physician
  • Miramar, FL
  • NPI 1376966200
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1093866873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 417",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295615",
            "telephone_number": "954-255-7827",
            "fax_number": "954-499-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 417",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-255-7827",
            "fax_number": "954-499-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAFF",
        "first_name": "SAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Simpson
• Nadia Sims
• Singer Diagnostic Inc
• Tristan Singleton
• Isachi Sisat Rivero
• Joerg H Skomrock, M.D.
• Colleen Patricia Small, CNA
• Cheryl Susan Smart, LCSW
• Smile-FX, PA
• Angela Smith

• Pediatrics Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.