DR. SAMUEL JOSEPH (PA-C, MD) – Physician Assistant, NPI 1588288203

DR. SAMUEL JOSEPH (PA-C, MD) is a healthcare provider. based in Mount dora, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MD. They hold a License No. HSE32842 (FL). The NPI Number for DR. SAMUEL JOSEPH (PA-C, MD) is 1588288203

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
DR. SAMUEL JOSEPH (PA-C, MD)
NPI
1588288203
Phone
(352) 602-7924
Address
4601 N HIGHWAY 19A
Enumeration Date
29 May 2020
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
9335525435
Professional Enrollment ID
I20230728002549
Address ID
AZ864298946BU3331XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:6State licenses:4Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DR. SAMUEL JOSEPH (PA-C, MD)

  • 4601 N HIGHWAY 19A

    MOUNT DORA, FL 327572039

    Phone: (352) 602-7924

    Fax: (754) 206-2394

    Type: Location

  • 22730 SW 55TH AVE

    BOCA RATON, FL 334336258

    Phone: (561) 573-8521

    Type: Location

  • 22730 SW 55th Ave

    Boca Raton, FL 334336258

    Phone: (561) 573-8521

    Type: Location

  • 6739 W Cactus Rd

    Peoria, AZ 853815311

    Phone: (833) 242-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220927001905IPhysician AssistantFLTBD
I20230728002549IPhysician AssistantAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2720$0
99214Established patient office or other outpatient visit, 30-39 minutes2315$0
99215Established patient office or other outpatient visit, 40-54 minutes1916$0
99497Advance care planning, first 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32757)

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Reviews

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Frequently asked questions

How is DR. SAMUEL JOSEPH (PA-C, MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SAMUEL JOSEPH (PA-C, MD) with NPI 1588288203.
Is DR. SAMUEL JOSEPH (PA-C, MD) still practicing?
DR. SAMUEL JOSEPH (PA-C, MD) is currently listed as active in the public NPI registry.
What is DR. SAMUEL JOSEPH (PA-C, MD) best known for clinically?
Directory data describes DR. SAMUEL JOSEPH (PA-C, MD) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does DR. SAMUEL JOSEPH (PA-C, MD) serve?
DR. SAMUEL JOSEPH (PA-C, MD)'s listing highlights Mount Dora, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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