Samuel David Chafin

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME169063 Issued in FL

Practice address

7050 Ulmerton Rd
Largo, FL 33771-5003

Phone

(727) 777-4540

Fax

(727) 248-0432

NPI assigned

Apr 27, 2021

Last updated

Jun 21, 2024By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1346822574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715003",
            "telephone_number": "727-777-4540",
            "fax_number": "727-248-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715003",
            "telephone_number": "727-777-4540",
            "fax_number": "727-248-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFIN",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME169063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Celleri-Rew, D.O.
• Centerwell Pharmacy, Inc.
• Central Florida Radiology LLC
• Maria J Centrowitz, ARNP
• Saloni Chadha
• Angela Rae Chalmers, RPH
• Crystal Chamberlain
• Kerry E Chamberlain, DO
• Virginia S Chambers, R.PH.
• Eden G Chaney, APRN, FNP-C

• Internal Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.