Individual provider Active NPI

Samer M Garas, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1669475778
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME84909 Issued in FL
Practice address
1824 King St
Suite 300
Jacksonville, FL 32204-4735
Phone
(904) 388-1820
Fax
(904) 388-1827
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME84909 FL Primary
Cardiovascular Disease Physician 207RC0000X 045466 GA

Addresses

Primary practice location

1824 King St
Suite 300
Jacksonville, FL 32204-4735

Mailing address

1824 King St
Ste 300
Jacksonville, FL 32204-4736
Phone (904) 633-2021

Other identifiers 7

IdentifierTypeStateIssuer
00961837BMedicaidGA
13580OtherFLBCBS
285797OtherFLAVMED
520065OtherGABCBS
7482382OtherFLAETNA
00961837AMedicaidGA
265140800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080715000107 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Other (Physician) 2163595802 Reassigns benefits to 2 organizations
I20100831000061 GA Practitioner - Cardiovascular Disease (Cardiology) 2163595802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1506 Alice St
Waycross, GA 31501-4531
Phone (912) 285-3087

1658 St Vincent'S Way
Middleburg, FL 32068-8431

1699 S 14TH St
Fernadina Beach, FL 32034-1964

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

2300 Park Ave
Orange Park, FL 32073-5572

2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 381-9994

300 Saint Elizabeth Way
Saint Johns, FL 32259-1153

4205 Belfort Rd
Jacksonville, FL 32216-1471
Phone (904) 296-0278

4205 Belfort Rd
Suite 2065
Jacksonville, FL 32216-1473
Phone (904) 296-2631

Hospital & facility affiliations

  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting134
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince May 14, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 1, 2011 Accepting new patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Park Avenue Heart and Vascular Center LLC Cardiovascular Disease Past Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients

Locations

2 Shircliff Way
Ste 400
Jacksonville, FL 32204
Phone (904) 308-4000

1824 King St
Ste 250
Jacksonville, FL 32204
Phone (904) 588-1820

4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Interoperability endpoints

  • Direct secure messaging: samer.garas.1@8967.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1669475778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 KING ST",
            "address_2": "STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-633-2021",
            "fax_number": "904-633-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 KING ST",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044735",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAS",
        "first_name": "SAMER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME84909",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "045466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00961837B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "285797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "520065",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7482382",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00961837A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265140800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.