Active NPI
Santroy Odane Samuels, DO
- Psychiatry Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS22116
- Practice address
- 300 Pinellas St # Ms 70
Clearwater, FL 33756-3804 - Phone
- (727) 462-3702
- Fax
- (727) 298-6702
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Psychiatry Physician | 2084P0800X | OS22116 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St # Ms 70
Clearwater, FL 33756-3804
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-0002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Santroy.SamuelsDO@direct.mybaycare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Nova Southeastern College of Osteo Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21808 State Rd
Suite 54
Lutz, FL 33549-6923
Phone (727) 281-9065
Hospital & facility affiliations
- Morton Plant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health Associates LLC | Single Specialty | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Single Specialty | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
300 Pinellas St
#70
Clearwater, FL 33756
Phone (727) 462-3702
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
Interoperability endpoints
- santroy.samuelsdo@direct.mybaycare.org
- santroy.samuels@hca4.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
Single Specialty
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1124609342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST # MS 70",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-3702",
"fax_number": "727-298-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "SANTROY",
"middle_name": "ODANE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS22116",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Santroy.SamuelsDO@direct.mybaycare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 Pinellas st",
"address_2": "MS 70",
"city": "CLEARWATER",
"state": "FL",
"country_code": "US",
"postal_code": "337563804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.