Individual provider Active NPI

Samantha Xavier, MD

  • Ophthalmology Physician
  • Ocoee, FL
National Provider Identifier
1316240690
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME133847 Issued in FL
Practice address
10131 W Colonial Dr
Ocoee, FL 34761
Phone
(407) 206-2020
Fax
(407) 206-0127
NPI assigned
Dec 8, 2010
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266109 NY
Ophthalmology Physician 207W00000X ME133847 FL Primary

Addresses

Primary practice location

10131 W Colonial Dr
Ocoee, FL 34761

Mailing address

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 775-7654

Other practice location 1

420 E 80th St Apt 11H
New York, NY 10075-1068
Phone (845) 427-1162

Other practice location 2

420 E 80th St Apt 11H
New York, NY 10075-1068
Phone (845) 427-1162

Other identifiers 1

IdentifierTypeStateIssuer
022749000MedicaidFL

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
I20171122001126 FL Practitioner - Ophthalmology 4880831080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye Clinic P aGroup PAC ID 6406758846, 25 clinicians

Practice addresses (Care Compare)

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 834-7776

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
98.94
Promoting interoperability
100
Improvement activities
40
Cost
38.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133847FLMDOphthalmology Physician
266109NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic P a Ophthalmology CurrentSince Feb 21, 2023 Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

2460 E Highway 50
Clermont, FL 34711
Phone (352) 708-7080

2225 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-2908

10131 W Colonial Dr
Ocoee, FL 34761
Phone (407) 206-2020

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332

2917 Edgewater Dr
Orlando, FL 32804
Phone (321) 423-2030

345 W Michigan St
Ste 118
Orlando, FL 32806
Phone (407) 896-0324

4442 Curry Ford Rd
Orlando, FL 32812
Phone (407) 203-8957

7512 Dr Phillips Blvd
Ste 70
Orlando, FL 32819
Phone (407) 352-8968

7975 Lake Underhill Rd
Ste 140
Orlando, FL 32822
Phone (407) 281-0866

1089 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (850) 626-1300

2875 Maguire Rd
Windermere, FL 34786
Phone (407) 299-8300

5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1316240690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014706",
            "telephone_number": "407-775-7654",
            "fax_number": "407-834-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-206-2020",
            "fax_number": "407-206-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 80th St Apt 11H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751068",
            "country_code": "US",
            "telephone_number": "845-427-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E 80th St Apt 11H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751068",
            "country_code": "US",
            "telephone_number": "845-427-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XAVIER",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "266109",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME133847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022749000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.