SAMANTHA SHROUDER (M.D.) – Internal Medicine Physician, NPI 1306291026
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA SHROUDER (M.D.)
5301 S Congress Ave
Lake Worth, FL 334621197
Phone: (561) 548-3459
Type: Location
11540, Southwest 56th Street, Flamingo Gardens, Cooper City, Broward County, Florida, 33330, United States
COOPER CITY, FL 333304140
Phone: (561) 758-7968
Type: Mailing
Aventura Hospital and Medical Center, 20900, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States
AVENTURA, FL 331801407
Phone: (305) 682-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,091.
Total Amount is formed as General ($1,091) + Research ($0) + Ownership ($0) = $1,091.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($294).
Total Amount
$1,091
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,091
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $294 |
| GlaxoSmithKline, LLC. | $144 |
| Lilly USA, LLC | $137 |
| Novo Nordisk Inc | $82 |
| ViiV Healthcare Company | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190912002077 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 448 | 140 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 111 | 109 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 80 | 78 | $0 |
Insurance plans in this area (ZIP 33462)
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Group practice members
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