Suzy Sameh Farag, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

164827 Issued in FL

Practice address

1776 N. Williamson Blvd.
Daytona Beach, FL 32117

Phone

(386) 323-7500

Fax

(203) 573-7031

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzy Sameh Guirguis Former name

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

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.

• Orlando Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Daytona Beach, FL
  • NPI 1083947048
  NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1346851797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TOMOKA TOWN CENTER DRIVE",
            "address_2": "APT 404",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "561-563-3331",
            "fax_number": "203-573-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N. WILLIAMSON BLVD.",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-323-7500",
            "fax_number": "203-573-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "SUZY",
        "middle_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "164827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZY",
            "last_name": "GUIRGUIS",
            "middle_name": "SAMEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family First Home Care of Florida
• Family Tree Acupuncture PL
• Brandy Fancher
• Mary Fanselow, CRNA
• Peter Farag
• Ali Faraj
• Valerie Farber, PHARMD
• Linda Montreuil Fares, OTR/L
• Alyssa Marie Farmer, PA-C
• Paula Frances Farr

• Internal Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, 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 Jan 31, 2025; 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.