Individual provider Active NPI

Carlos J Samada, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1699359307
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4449 Issued in FL
Practice address
13255 SW 137TH Ave Ste 206
Miami, FL 33186-5328
Phone
(786) 662-3893
Fax
(786) 662-3899
NPI assigned
May 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 FL
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO4449 FL Primary

Addresses

Primary practice location

13255 SW 137TH Ave Ste 206
Miami, FL 33186-5328

Mailing address

8200 NW 27TH St Ste 108
Doral, FL 33122-1902
Phone (786) 662-3893

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016004010 FL Practitioner - Podiatry 7517499403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Foot and Ankle Associates, LLC.Group PAC ID 8628173465, 24 clinicians

Practice addresses (Care Compare)

13255 SW 137TH Ave
Suite 206
Miami, FL 33186-5328
Phone (786) 662-3893

Hospital & facility affiliations

  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue41
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4449FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates LLC Single Specialty CurrentSince Sep 8, 2024 Accepting new patients
Florida Foot & Ankle Associates, LLC Single Specialty CurrentSince Sep 8, 2024 Accepting new patients
Dr. Carlos J Samada LLC Single Specialty PastSince Jan 1, 2024 Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

13255 SW 137th Ave
Ste 206
Miami, FL 33186
Phone (305) 859-1533

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.

Hospital & facility affiliations 1

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": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1699359307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865328",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADA",
        "first_name": "CARLOS",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-09",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.