Individual provider Active NPI

Samyr Elbadri, M.D.

  • Emergency Medicine Physician
  • Ocala, FL
National Provider Identifier
1659805406
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME145332 Issued in FL
Practice address
1431 SW 1St Ave
Bitzer BLDG, Suite 7
Ocala, FL 34471-6500
Phone
(352) 401-8323
Fax
(352) 401-8313
NPI assigned
Apr 19, 2017
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME145332 FL Primary

Addresses

Primary practice location

1431 SW 1St Ave
Bitzer BLDG, Suite 7
Ocala, FL 34471-6500

Mailing address

1431 SW 1St Ave
Bitzer BLDG, Suite 7
Ocala, FL 34471-6500
Phone (352) 401-8323

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
I20200619001658 FL Practitioner - Emergency Medicine 9830511807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince May 27, 2020 Accepting new patients
Sheridan Emergency Physician Services, Inc Single Specialty CurrentSince May 27, 2020 Accepting new patients
Sheridan Emergency Physician Services Inc Single Specialty Current Accepting new patients
Florida Em-I Medical Services PA Single Specialty Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1431 SW 1st Ave
Ste 7
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1659805406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "address_2": "BITZER BLDG, SUITE 7",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716500",
            "telephone_number": "352-401-8323",
            "fax_number": "352-401-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "address_2": "BITZER BLDG, SUITE 7",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716500",
            "telephone_number": "352-401-8323",
            "fax_number": "352-401-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBADRI",
        "first_name": "SAMYR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME145332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.