Active NPI
Samuel M. Rosati, MD
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1770609554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME103357
- Practice address
- 5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777 - Phone
- (716) 434-2116
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME103357 | FL | |
| Family Medicine Physician | 207Q00000X | ME103357 | FL | Primary |
Addresses
Primary practice location
5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777
Mailing address
5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777
Phone (407) 658-4616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151A0 | Other | FL | BCBS |
| 1770609554 | Other | FL | TRICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1860 Renzulli Rd
New Smyrna BCH, FL 32168-1726
Phone (386) 663-3061
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103357 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Smyrna Beach Urgent Care, LLC | Current | Accepting new patients | |
| Orlando Pain Management Center LLC | Addiction Medicine | Past | Accepting new patients |
Locations
1860 Renzulli Rd
New Smyrna Beach, FL 32168
Phone (386) 299-5658
Organizations & group practices 2
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.
-
- Basic Emergency Medical Technician
- New Smyrna Beach, FL
- NPI 1801126297
-
- Addiction Medicine (Family Medicine) Physician
- Orlando, FL
- NPI 1659214625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1770609554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 S SEMORAN BLVD STE 11",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328221777",
"telephone_number": "407-658-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 S SEMORAN BLVD STE 11",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328221777",
"telephone_number": "716-434-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSATI",
"first_name": "SAMUEL",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME103357",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME103357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "151A0",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1770609554",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.