Individual provider Active NPI

Samuel Stanley Travis, M.D.

  • Obstetrics & Gynecology Physician
  • Jupiter, FL
National Provider Identifier
1235493610
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME172575 Issued in FL
Practice address
345 Jupiter Lakes Blvd Ste 200
Jupiter, FL 33458-7100
Phone
(561) 741-1957
Fax
(561) 741-1893
NPI assigned
Jun 29, 2012
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME172575 FL Primary
Obstetrics & Gynecology Physician 207V00000X 0101260124 VA

Addresses

Primary practice location

345 Jupiter Lakes Blvd Ste 200
Jupiter, FL 33458-7100

Mailing address

770 Northpoint Pkwy Ste 102770
West Palm Beach, FL 33407-1901
Phone (561) 275-7604

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
I20250610002828 FL Practitioner - Obstetrics/Gynecology 9537398136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

345 Jupiter Lakes Blvd
Suite 302B
Jupiter, FL 33458-7100
Phone (561) 626-3800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME172575FLMDObstetrics & Gynecology Physician
0101260124VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Grand Rapids Medical Education and Research Center Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

345 Jupiter Lakes Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 741-1957

345 Jupiter Lakes Blvd
Ste 302B
Jupiter, FL 33458
Phone (561) 870-0411

770 Northpoint Pkwy
Ste 100
West Palm Beach, FL 33407

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: samuel.travis.1@13043.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1235493610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NORTHPOINT PKWY STE 102770",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071901",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "561-741-1957",
            "fax_number": "561-741-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "SAMUEL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME172575",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101260124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.