DR. SAMUEL S ELIAS-AUSI M.D. NPI 1639432156

NPI Information

NPI: 1639432156
Provider Name: DR. SAMUEL S ELIAS-AUSI, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5900 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809
Phone: (407) 352-6968
Get Directions

DR. Samuel S Elias-ausi, M.D. is a family medicine in Orlando, FL with 15 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Samuel S Elias-ausi, M.D. NPI is 1639432156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5900 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809-618
Phone: (407) 352-6968

The NPI 1639432156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 1/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		082041	GEORGIA	No
2	207Q00000X	Family Medicine		ME129836	FLORIDA	No
3	207Q00000X	Family Medicine		MD455198	PENNSYLVANIA	No
4	207QA0505X	Family Medicine	Adult Medicine	082041	GEORGIA	No
5	207QA0505X	Family Medicine	Adult Medicine	ME129638	FLORIDA	No
6	208M00000X	Hospitalist		C1-0012156	DELAWARE	No
7	207Q00000X	Family Medicine		MD204788	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103034936	MEDICAID	PENNSYLVANIA
2	019563600	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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