Individual provider Active NPI

Samuel Almengor

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1699166520
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024185536 Issued in VA
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-1606
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Feb 13, 2015
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024185536 VA Primary
Certified Registered Nurse Anesthetist 367500000X RN243344 GA
Registered Nurse First Assistant 163WR0006X APRN11017271 FL

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-1606

Mailing address

PO Box 100254
Gainesville, FL 32610-0254
Phone (352) 273-8610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150409000125 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123346822 Reassigns benefits to 4 organizations
I20220129000238 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123346822 Reassigns benefits to 1 organization
I20230326000163 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123346822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11017271FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Oct 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 25, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC Current Accepting new patients
Advanced Gynecology PC Current Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Oct 1, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 25, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Oct 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Oct 1, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Oct 1, 2021 Accepting new patients
Advanced Gynecology PC CurrentSince Oct 1, 2021 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

1357 Oconee Connector
Watkinsville, GA 30677
Phone (706) 549-8306

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1699166520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100254",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100254",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101606",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMENGOR",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024185536",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN243344",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "APRN11017271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.