Individual provider Active NPI

Samuel M. Rosati, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1770609554
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103357 Issued in FL
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

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
151A0OtherFLBCBS
1770609554OtherFLTRICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717001449 FL Practitioner - Family Practice 0143391227 Reassigns benefits to 1 organization

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
New Smyrna Beach Urgent Care, LLCGroup PAC ID 8426184128, 10 clinicians

Practice addresses (Care Compare)

1860 Renzulli Rd
New Smyrna BCH, FL 32168-1726
Phone (386) 663-3061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103357FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Smyrna Beach Urgent Care, LLC CurrentSince Nov 1, 2015 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.

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

Verify at the official NPI Registry.