SAMUEL HARRIS (D.O.) – Internal Medicine Physician, NPI 1750813895

SAMUEL HARRIS (D.O.) is a healthcare provider. based in Hialeah, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS15623 (FL). The NPI Number for SAMUEL HARRIS (D.O.) is 1750813895

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL HARRIS (D.O.)
NPI
1750813895
Phone
(305) 364-2107
Address
2001 W 68TH ST
Enumeration Date
29 March 2017
Last Update Date
8 June 2020

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9548400530
Graduation Year
2017 (9 years ago)
PAC ID
1557648060
Group Practice PAC ID
7012347347
Professional Enrollment ID
I20200611002518
Address ID
FL330716040CO1480XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for SAMUEL HARRIS (D.O.)

  • Palmetto General Hospital, 2001, West 68th Street, Hialeah, Miami-Dade County, Florida, 33015, United States

    STE 202

    HIALEAH, FL 330161801

    Phone: (305) 364-2107

    Fax: (305) 822-8347

    Type: Mailing

  • 202, Sunrise Boulevard, Sunrise Beach, Riviera on the Barnegat, Forked River, Lacey Township, Ocean County, New Jersey, 08731, United States

    SUNRISE, FL 333230906

    Phone: (954) 838-8801

    Fax: (954) 838-8807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $1,714.

Total Amount is formed as General ($1,714) + Research ($0) + Ownership ($0) = $1,714.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($377).

Total Amount

$1,714

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,714

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200611002518IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6131$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012347347View full group profile
NameSpecialtyState
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
E N D O C R I N O L O G YFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify SAMUEL HARRIS (D.O.) with an NPI only?
You can start verification with NPI 1750813895 for SAMUEL HARRIS (D.O.), then check state licensing separately.
Is SAMUEL HARRIS (D.O.) still practicing?
SAMUEL HARRIS (D.O.) is currently listed as active in the public NPI registry.
What is SAMUEL HARRIS (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for SAMUEL HARRIS (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does SAMUEL HARRIS (D.O.) serve?
SAMUEL HARRIS (D.O.)'s listing highlights Hialeah, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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