Individual provider Active NPI

Samuel Baida-Spell, PA

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1265138598
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117079 Issued in FL
Practice address
1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone
(561) 330-9363
NPI assigned
Feb 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117079 FL Primary

Addresses

Primary practice location

1425 S Congress Ave
Delray Beach, FL 33445-6384

Mailing address

412 Asbury Way
Boynton Beach, FL 33426-5533

Other practice location 1

5975 N Federal Hwy Ste 107
Fort Lauderdale, FL 33308-2661
Phone (561) 330-9363

Other practice location 2

2662 Hollywood Blvd
Hollywood, FL 33020-4807
Phone (561) 330-9363

Other practice location 3

2224 N University Dr
Coral Springs, FL 33071-6100
Phone (561) 330-9363

Other practice location 4

127 N Dixie Hwy Ste 4
Lake Worth, FL 33460-3343
Phone (561) 330-9363

Other practice location 5

1383 S Military Trl
Deerfield Beach, FL 33442-7634
Phone (561) 330-9363

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403002482 FL Practitioner - Physician Assistant 3678948700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1021 N State Rd
Suite 7
Royal Palm Beach, FL 33411-5117
Phone (561) 333-9331

11551 Southern Blvd
Suite 4
Royal Palm Beach, FL 33411-4254
Phone (561) 798-9411

1625 S Federal Hwy
Boynton Beach, FL 33435-6953
Phone (561) 945-0544

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555

2606 S Dixie Hwy
West Palm Beach, FL 33401-7920
Phone (561) 804-4327

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

6699 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 734-4210

6868 Forest Hill Blvd
Greenacres, FL 33413-3352
Phone (561) 967-8771

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Oct 10, 2023 Accepting new patients
Dr G'S Pharmacy, Inc PastSince Sep 15, 2019 Accepting new patients
Dr. G'S Urgent Radiology PastSince Aug 4, 2024 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: samuel.baida-spell.1@18061.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1265138598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ASBURY WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "561-330-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 N Federal Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333082661",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2662 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330204807",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2224 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716100",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 N Dixie Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334603343",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1383 S Military Trl",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427634",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIDA-SPELL",
        "first_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.