Samir C Guru, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS9328 Issued in FL

Practice address

1945 Bay Rd
Mount Dora, FL 32757-2105

Phone

(352) 483-5633

Fax

(352) 483-5070

NPI assigned

Sep 23, 2005

Last updated

May 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Orthopedic Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Leesburg, FL, CCN 107155
• Advanced Nursing Concepts LLC Home health agency, The Villages, FL, CCN 107728
• Enhabit Home Health Home health agency, Clermont, FL, CCN 109775
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
• Adventhealth Waterman Inpatient rehabilitation facility, Tavares, FL, CCN 10T057
• Edgewater at Waterman Village Nursing home, Mount Dora, FL, CCN 105796

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sguru59131@adventhealth.direct-ci.com

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  NPD (past)

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

• Advanced Nursing Concepts, LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1720006414
  Care Compare affiliation
• Adventhealth Home Health and Hospice Inc

  dba Adventhealth Home Health

  • Home Health Agency
  • Leesburg, FL
  • NPI 1023045853
  Care Compare affiliation
• Eh Home Health of the Southeast, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Clermont, FL
  • NPI 1457767006
  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • Rehabilitation Hospital Unit
  • Ormond Beach, FL
  • NPI 1851940035

  Inpatient rehabilitation facility

  Care Compare affiliation
• Waterman Communities Inc

  • Skilled Nursing Facility
  • Mount Dora, FL
  • NPI 1063588226

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1215923396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 BAY RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572105",
            "telephone_number": "352-483-5633",
            "fax_number": "352-483-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BAY RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572105",
            "telephone_number": "352-483-5633",
            "fax_number": "352-483-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURU",
        "first_name": "SAMIR",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS9328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GURU",
            "identifier": "P00260225",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DD9204",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "16714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Griffin
• Christine Griggs, RBT
• Jessica Groover
• Philip Benedict Guastella, OD
• Rachelle Guerra
• Debra Gwynn, MS
• Daisy Lynn Hache, BT
• Anthony A Hackett
• Timothy Hadley
• Jerilynn Haig, RBT

• Orthopaedic Surgery Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.

Verify at the official NPI Registry.