Active NPI
Samar Musmar
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME65237
- Practice address
- 3128 E Hillsborough Ave
Tampa, FL 33610 - Phone
- (813) 579-1767
- Fax
- (813) 305-7907
- NPI assigned
- Oct 21, 2014
- Last updated
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME65237 | FL | Primary |
Addresses
Primary practice location
3128 E Hillsborough Ave
Tampa, FL 33610
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
1129 N Missouri Ave
Lakeland, FL 33805-4411
Phone (863) 413-8600
Other practice location 2
1129 N Missouri Ave
Lakeland, FL 33805-4411
Phone (863) 413-8600
Other names 1
- Dr. Samar Ghazal
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
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3128 E Hillsborough Ave
Chen Central FL Holdings
Tampa, FL 33610-4528
Phone (813) 579-1769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767
47 5th St NW
Winter Haven, FL 33881
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
dba Central Florida Health Care-Lakeland Primary Care
- Federally Qualified Health Center (FQHC)
- Lakeland, FL
- NPI 1386835064
-
- Specialist
- Tampa, FL
- NPI 1700393881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1619371556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3128 E HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-579-1767",
"fax_number": "813-305-7907"
}
],
"practiceLocations": [
{
"address_1": "1129 N Missouri Ave",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054411",
"country_code": "US",
"telephone_number": "863-413-8600",
"fax_number": "863-413-8651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1129 N Missouri Ave",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054411",
"country_code": "US",
"telephone_number": "863-413-8600",
"fax_number": "863-413-8651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSMAR",
"first_name": "SAMAR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME65237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMAR",
"last_name": "GHAZAL",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.