Individual provider Active NPI

Samantha Mary Elizabeth Laqua, MD

  • Family Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1851884811
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142301 Issued in FL
Practice address
26827 Foggy Creek Rd BLDG 6
Wesley Chapel, FL 33544-6768
Phone
(813) 973-7774
Fax
(813) 973-8882
NPI assigned
Jun 13, 2018
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN26766 FL
Family Medicine Physician 207Q00000X ME142301 FL Primary

Addresses

Primary practice location

26827 Foggy Creek Rd BLDG 6
Wesley Chapel, FL 33544-6768

Mailing address

26827 Foggy Creek Rd BLDG 6
Wesley Chapel, FL 33544-6768
Phone (813) 973-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200820000444 FL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9931453644 Reassigns benefits to 1 organization
I20240116002394 TX Practitioner - Obstetrics/Gynecology 9931453644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN26766FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Dec 4, 2023 Accepting new patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine PastSince Mar 24, 2024 Accepting new patients

Locations

13601 Bruce B Downs Blvd
Ste 260
Tampa, FL 33613

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

26827 Foggy Creek Rd
Bldg 6
Wesley Chapel, FL 33544
Phone (813) 973-7774

26827 Foggy Creek Rd
Ste 101
Wesley Chapel, FL 33544
Phone (813) 973-7774

26827 Foggy Creek Rd
Ste 101A
Wesley Chapel, FL 33544
Phone (813) 973-7774

2700 Healing Way
Ste 300
Wesley Chapel, FL 33543
Phone (813) 467-4756

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

Interoperability endpoints

  • Direct secure messaging: samantha.laqua@hca4.eclinicaldirectplus.com
  • Direct secure messaging: slaqua1029921@direct.unitypoint.org
  • Direct secure messaging: slaqua1928163@adventhealth.direct-ci.com

Organizations & group practices 4

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 3

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1851884811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26827 FOGGY CREEK RD BLDG 6",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446768",
            "telephone_number": "813-973-7774",
            "fax_number": "813-973-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26827 FOGGY CREEK RD BLDG 6",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446768",
            "telephone_number": "813-973-7774",
            "fax_number": "813-973-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUA",
        "first_name": "SAMANTHA",
        "middle_name": "MARY ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN26766",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.