Samuel A Budnyk, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME61503 Issued in FL

Practice address

1225 Airport Rd
Destin, FL 32541-2909

Phone

(850) 650-7606

Fax

(850) 337-1698

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Anesthesiology

Education

University of Florida College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Destin Anesthesia, LLCGroup PAC ID 9830158500, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Destin Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Destin, FL
  • NPI 1891726394

  FL, Specialist

  Medicare reassignment Care Compare group NPD
• Northwest Florida Anesthesia Consultants Inc

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
  • NPI 1497702229

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1760413249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412909",
            "telephone_number": "850-650-7606",
            "fax_number": "850-337-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412909",
            "telephone_number": "850-650-7606",
            "fax_number": "850-337-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNYK",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME61503",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME61503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376054500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookdale Destin
• Randell Rudell Brooke, PHD
• Glenda Dianne Brooks
• Linda G Buckland, LMHC CCMHC NCC
• Brooke Budney, LCSW
• Brett Buehner, RPH
• Kellee Buehner
• William R Burden, MD
• Haley Camille Burks, PT, DPT
• Vanessa Byrd

• All providers in Destin, FL
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.