NPIMap

Individual provider Active NPI

Samerah G Razuman, M.D.

  • Nephrology Physician
  • Fort Pierce, FL
National Provider Identifier
1184672164
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0082363 Issued in FL
Practice address
2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4412
Phone
(772) 465-1170
Fax
(772) 465-1171
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0082363 FL Primary

Addresses

Primary practice location

2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4412

Mailing address

2000 Hartman Road
Suite 1
Fort Pierce, FL 34950-4830
Phone (772) 465-1170

Other identifiers 1

IdentifierTypeStateIssuer
107239500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000141 FL Practitioner - NephrologyPractitioner - Internal Medicine 9931110228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

107 NE 19TH Dr
KCTC Okeechobee
Okeechobee, FL 34972-1933
Phone (772) 465-1170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0082363FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samerah Razuman MD PLLC Nephrology CurrentSince Jun 23, 2017 Accepting new patients
TMG Medical Management Current Accepting new patients
National Kidney Partners, LLP Nephrology CurrentSince Oct 1, 2022 Accepting new patients

Locations

2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

107 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 402-3449

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

1631 SW Gatlin Blvd
Ste 102
Port Saint Lucie, FL 34953
Phone (772) 465-1170

1401 SE Goldtree Dr
Ste 102
Port St Lucie, FL 34952
Phone (772) 337-3540

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: srazuman80978@direct.acumenmd.com

Organizations & group practices 3

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 8

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1184672164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN ROAD",
            "address_2": "SUITE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474412",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZUMAN",
        "first_name": "SAMERAH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0082363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107239500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.