NPIMap

Individual provider Active NPI

Samuel S Messieh, MD

  • Orthopaedic Surgery Physician
  • Winter Haven, FL
National Provider Identifier
1831106111
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME-54966 Issued in FL
Practice address
1601 6TH St SE
Winter Haven, FL 33880-4605
Phone
(863) 419-9301
Fax
(863) 419-9304
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME-54966 FL Primary

Addresses

Primary practice location

1601 6TH St SE
Winter Haven, FL 33880-4605

Mailing address

1601 6TH St SE
Winter Haven, FL 33880-4605
Phone (863) 419-9301

Other identifiers 1

IdentifierTypeStateIssuer
0624781-00MedicaidFL

Other names 1

  • Sam S Messieh Other name

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
I20050209000496 FL Practitioner - Orthopedic Surgery 6608827472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Messieh Orthopedic Clinic PAGroup PAC ID 3870545395, 2 clinicians

Practice addresses (Care Compare)

1601 6TH St SE
Winter Haven, FL 33880-4605
Phone (863) 419-9301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement66
Knee replacement68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-54966FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Messieh Orthopedic Clinic PA CurrentSince Feb 7, 2005 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

3200 Physicians Way
Sebring, FL 33870
Phone (863) 213-3551

1601 6th St SE
Winter Haven, FL 33880
Phone (863) 294-0350

Interoperability endpoints

  • Direct secure messaging: sammessieh@moc.allscriptsdirect.net

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

Hospital & facility affiliations 9

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1831106111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-419-9301",
            "fax_number": "863-419-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-419-9301",
            "fax_number": "863-419-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIEH",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME-54966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0624781-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "MESSIEH",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.