Individual provider Active NPI

Sammy Arnold Gammenthaler, MD

  • Cardiovascular Disease Physician
  • Tavares, FL
National Provider Identifier
1396747424
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME108483 Issued in FL
Practice address
1815 Salk Ave
Tavares, FL 32778-4311
Phone
(352) 343-1158
Fax
(352) 343-8106
NPI assigned
Jun 1, 2005
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 38340 NC
Cardiovascular Disease Physician 207RC0000X ME108483 FL Primary
Cardiovascular Disease Physician 207RC0000X 063196 GA

Addresses

Primary practice location

1815 Salk Ave
Tavares, FL 32778-4311

Mailing address

PO Box 1289
Tavares, FL 32778-1289
Phone (352) 343-1158

Other identifiers 5

IdentifierTypeStateIssuer
908091490AMedicaidGA
014122900MedicaidFL
14H8KOtherFLBCBS OF FL
127F2OtherNCBCBS NC INDIVIDUAL ID #
89127F2MedicaidNC

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
I20111114000615 FL Practitioner - Cardiovascular Disease (Cardiology) 3678596590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loma Linda University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2105 SW 20TH PL
Ocala, FL 34471-7734

2111 SW 20TH PL
Ocala, FL 34471-7734

2111 SW 20TH Place
Ocala, FL 34471-7734

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
70.72
Promoting interoperability
96
Improvement activities
40
Cost
84.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108483FLMDCardiovascular Disease Physician
063196GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiology & Vascular Center LLC Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients
Sadler Clinic Association Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Institute of Cardiovascular Excellence PLLC Cardiovascular Disease Past Accepting new patients
Grace Hematology and Oncology PastSince Nov 1, 2004 Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

4901 International Pkwy
Ste 1031
Sanford, FL 32771
Phone (321) 275-1750

1815 Salk Ave
Tavares, FL 32778

1825 Salk Ave
Tavares, FL 32778
Phone (316) 204-3682

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sammy.gammenthaler.1@29679.direct.athenahealth.com

Organizations & group practices 7

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1396747424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327781289",
            "telephone_number": "352-343-1158",
            "fax_number": "352-343-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784311",
            "telephone_number": "352-343-1158",
            "fax_number": "352-343-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMENTHALER",
        "first_name": "SAMMY",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "38340",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME108483",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "063196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908091490A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014122900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "14H8K",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC INDIVIDUAL ID #",
            "identifier": "127F2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127F2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.