DR. HAZEM MAHMOUD SAMY MD NPI 1376518399

NPI Information

  • NPI: 1376518399
  • Provider Name: DR. HAZEM MAHMOUD SAMY, MD
  • Classification: Ophthalmology - 207WX0109X
  • Specialization: Neuro-ophthalmology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13241 BARTRAM PARK BLVD UNIT 1505
    JACKSONVILLE, FL
    ZIP 32258
  • Phone: (904) 374-6899

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NPI Details

DR. Hazem Mahmoud Samy, MD is a neuro-ophthalmology ophthalmology in Jacksonville, FL with 40 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. Hazem Mahmoud Samy, MD NPI is 1376518399. 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:

13241 BARTRAM PARK BLVD UNIT 1505
JACKSONVILLE, FL
ZIP 32258-231
Phone: (904) 374-6899
Fax: (904) 503-0039

The NPI 1376518399 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Photography of the retina (HCPCS:92250)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 4/19/2019.

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
1207W00000XOphthalmologyME105047FLORIDANo
2207WX0009XOphthalmologyGlaucoma SpecialistME105047FLORIDANo
3174400000XSpecialistMD426523PENNSYLVANIANo
4207WX0109XOphthalmologyNeuro-ophthalmologyME105047FLORIDAYes

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
1101294355MEDICAIDPENNSYLVANIA

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: 11/21/2025

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