SAMUEL M. ROSATI (MD) – Family Medicine Physician, NPI 1770609554

SAMUEL M. ROSATI (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME103357 (FL). The NPI Number for SAMUEL M. ROSATI (MD) is 1770609554

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL M. ROSATI (MD)
NPI
1770609554
Phone
(386) 676-7130
Address
PO BOX 9671
Enumeration Date
22 March 2007
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3866633061
Graduation Year
1986 (40 years ago)
PAC ID
0143391227
Group Practice PAC ID
8426184128
Professional Enrollment ID
I20150717001449
Address ID
FL321681726NE1860XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for SAMUEL M. ROSATI (MD)

  • PO BOX 9671

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 320 N CLYDE MORRIS BLVD

    DAYTONA BEACH, FL 321142744

    Phone: (386) 238-3204

    Fax: (386) 238-3235

    Type: Location

  • 424 LUNA BELLA LN APT 235

    NEW SMYRNA BEACH, FL 32168

    Phone: (716) 434-2116

    Type: Mailing

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: 2015-07-17

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
I20150717001449IFamily PracticeFLTBD

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
99203New patient office or other outpatient visit, 30-44 minutes175175$0
99213Established patient office or other outpatient visit, 20-29 minutes157135$0
81003Automated urinalysis test4946$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 32120)

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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: 8426184128View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-ME
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to SAMUEL M. ROSATI (MD)?
NPI 1770609554 is assigned to SAMUEL M. ROSATI (MD) under the national enumeration system.
Is SAMUEL M. ROSATI (MD) currently active in the NPI registry?
CMS-published data lists SAMUEL M. ROSATI (MD) as an active registrant.
Can you summarize SAMUEL M. ROSATI (MD)'s specialty in plain language?
Clinically, the directory lists SAMUEL M. ROSATI (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for SAMUEL M. ROSATI (MD)?
We surface Daytona Beach, Florida for SAMUEL M. ROSATI (MD) based on available NPPES addresses.
Is SAMUEL M. ROSATI (MD) a real provider?
This page reflects official NPPES data for NPI 1770609554. Always confirm identity and privileges with the practice and licensing boards.

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