NPIMap

Individual provider Active NPI

Samuel Harris, D.O.

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1750813895
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS15623 Issued in FL
Practice address
1881 N University Dr Ste 100
Coral Springs, FL 33071-6093
Phone
(954) 840-0530
Fax
(954) 840-3570
NPI assigned
Mar 29, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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
Internal Medicine Physician 207R00000X OS15623 FL Primary

Addresses

Primary practice location

1881 N University Dr Ste 100
Coral Springs, FL 33071-6093

Mailing address

1881 N University Dr Ste 100
Coral Springs, FL 33071-6093
Phone (954) 840-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002518 FL Practitioner - Internal Medicine 1557648060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multispecialtyhealthcare LLCGroup PAC ID 7012347347, 7 clinicians

Practice addresses (Care Compare)

1480 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 840-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.71

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
98.43
Promoting interoperability
99
Improvement activities
40
Cost
61.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multispecialtyhealthcare LLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Columbia Primary Care LLC Internal Medicine PastSince Jan 1, 2024 Accepting new patients
Palm Beach General Surgery LLC PastSince Jun 14, 2020 Accepting new patients

Locations

1001 Wynmoor Cir
Ste 120
Coconut Creek, FL 33066
Phone (954) 840-0530

1480 N University Dr
Coral Springs, FL 33071
Phone (954) 753-1030

1881 N University Dr
Ste 100
Coral Springs, FL 33071
Phone (954) 516-0070

1881 N University Dr
Ste 110
Coral Springs, FL 33071
Phone (954) 289-4777

Interoperability endpoints

  • Direct secure messaging: samuel.harris.1@24763.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1750813895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716093",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716093",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMUEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS15623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.