Individual provider Active NPI

Santroy Odane Samuels, DO

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1124609342
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS22116 Issued in FL
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

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721003719 FL Practitioner - Psychiatry 7113433723 Reassigns benefits to 1 organization

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
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

21808 State Rd
Suite 54
Lutz, FL 33549-6923
Phone (727) 281-9065

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Associates LLC Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Baycare Behavioral Health Associates LLC Single Specialty CurrentSince Sep 15, 2025 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

  • Direct secure messaging: santroy.samuelsdo@direct.mybaycare.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.