Individual provider Active NPI

Samip Dave

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1194132126
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME153495 Issued in FL
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5874
NPI assigned
Jul 22, 2014
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME153495 FL
General Acute Care Hospital 282N00000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME153495 FL Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

1596 3Rd Ave
Apt 4B
New York, NY 10128-3417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171121002766 VA Practitioner - HospitalistPractitioner - Internal Medicine 1355608662 Reassigns benefits to 3 organizations
I20211213001064 FL Practitioner - Internal Medicine 1355608662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700

4901 Richard St
Jacksonville, FL 32207-7328
Phone (512) 730-3060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Hni Hospital Services of Florida, LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Single Specialty CurrentSince Aug 30, 2017 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Single Specialty CurrentSince Dec 1, 2017 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1194132126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 3RD AVE",
            "address_2": "APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "SAMIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME153495",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.