Individual provider Active NPI

Imran Q Samnani, M.D.

  • Internal Medicine Physician
  • Lake City, FL
National Provider Identifier
1801829098
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98459 Issued in FL
Practice address
Lake City VA
619 S. Marion Ave
Lakecity, FL 32025-3202
Phone
(386) 755-3016
NPI assigned
Jul 9, 2006
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME98459 FL
Internal Medicine Physician 207R00000X ME98459 FL Primary
Infectious Disease Physician 207RI0200X ME98459 FL
Hospitalist Physician 208M00000X ME98459 FL

Addresses

Primary practice location

Lake City VA
619 S. Marion Ave
Lakecity, FL 32025-3202

Mailing address

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303

Other practice location 1

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303

Other identifiers 1

IdentifierTypeStateIssuer
279501900MedicaidFL

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
I20071121000253 FL Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Hospitalist 7810085040 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Specialty Associates PLLCGroup PAC ID 0749531598, 6 clinicians

Practice addresses (Care Compare)

150 SE 17TH St
Suite 801
Ocala, FL 34471-3716
Phone (352) 240-8555

8996 SW 25TH Rd
Gainesville, FL 32608-9308
Phone (352) 535-8025

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Brill MD PA CurrentSince Feb 15, 2015 Accepting new patients
Axis Multispecialty Group PLLC CurrentSince Jan 13, 2026 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Nov 14, 2018 Accepting new patients
Excellence in Medicine and Infectious Diseases Infectious Disease CurrentSince May 3, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 30, 2015 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 30, 2015 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 1, 2010 Accepting new patients
Pioneer Medical Group, PL Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Infectious Diseases Specialty Associates PLLC Infectious Disease CurrentSince Feb 2, 2019 Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients

Locations

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 364-6282

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#1003
Gainesville, FL 32610

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

150 SE 17th St
Ste 801
Ocala, FL 34471
Phone (352) 237-7646

2651 SW 32nd Pl
Ocala, FL 34471
Phone (352) 401-7552

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 11

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 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1801829098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKE CITY VA",
            "address_2": "619 S. MARION AVE",
            "city": "LAKECITY",
            "state": "FL",
            "postal_code": "320253202",
            "telephone_number": "386-755-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12470 Telecom Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370904",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMNANI",
        "first_name": "IMRAN",
        "middle_name": "Q",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME98459",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98459",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME98459",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME98459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279501900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.