Active NPI
Peter Sam, MD
- Urology Physician
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME166298
- Practice address
- 7050 Gall Blvd
Zephyrhills, FL 33541-1347 - Phone
- (813) 615-7460
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Urology Physician | 208800000X | ME166298 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | ME166298 | FL |
Addresses
Primary practice location
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Mailing address
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 615-7460
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Nebraska College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2590 Healing Way
Suite 210
Wesley Chapel, FL 33543-5497
Phone (813) 782-5801
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436
2700 Healing Way
Wesley Chapel, FL 33543-5453
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Adventhealth Zephyrhills
- Adventhealth Dade City
- Adventhealth Wesley Chapel
- Adventhealth Tampa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166298 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Zephyrhills Inc | Current | Accepting new patients | |
| Florida Hospital Zephyrhills Inc | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients |
Locations
30115 Highway 52
Ste 101
San Antonio, FL 33576
Phone (813) 467-4244
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
2590 Healing Way
Ste 210
Wesley Chapel, FL 33543
Phone (813) 467-4285
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
38240 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 788-3582
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- psam2704554@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Multi-Specialty Clinic/Center
- Zephyrhills, FL
- NPI 1639325046
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1548723992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335411347",
"telephone_number": "813-615-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335411347",
"telephone_number": "813-615-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME166298",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "ME166298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.