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NPISignal

Individual Healthcare Provider

Samantha R Avery, D.O.

NPI Record: ActiveInternal Medicine — Cardiovascular Disease
NPI1215178090
South Pasadena, Florida

Provider's NPPES record last updated: October 1, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1215178090
Primary Specialty
Internal Medicine — Cardiovascular Disease
Practice Location
South Pasadena, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 3:27 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Cardiovascular Disease

    Allopathic & Osteopathic Physicians

    Primary

    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

    Taxonomy code 207RC0000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Internal Medicine (Florida)
OS 11371
Internal Medicine (Ohio)
34.016407
Internal Medicine (Pennsylvania)
OS022821
Internal Medicine (Oregon)
DO214145
Internal Medicine (Indiana)
01089349A
Internal Medicine (Connecticut)
73591
Internal Medicine (Arizona)
010143
Internal Medicine (Colorado)
DR.0070152
Internal Medicine (South Carolina)
92684
Internal Medicine (New York)
339916
Internal Medicine (North Carolina)
25MB11818700
Internal Medicine (New Mexico)
DO2023-1051
Internal Medicine (Nevada)
DO3464
Internal Medicine (New Jersey)
25MB11818700
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1615 Pasadena Ave S Ste 300

South Pasadena, Florida 33707-4567

Phone: (277) 490-3030

Record Information

Enumeration Date
March 9, 2009
Provider's NPPES Record Last Updated
October 1, 2025
Certification Date
October 1, 2025
NPISignal NPPES Dataset
August 2026

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