Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Arthur Sambursky, MD

Individual provider Neurology Physician · NPI 1619436474

Dr. Jacob Arthur Sambursky, MD is a Neurology in Fort Myers, Florida. Graduated from Univ of Central Florida, College of Medicine in 2019, 7 years ago. Practices with Piedmont Athens Hospitalist Physicians LLC, a 167-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Florida, Missouri and Montana and 3 more.

Years since qualifying
7
Trained at
Univ of Central Florida, College of Medicine
Licensed in
AZ, FL, MO, MT, NY, OR
In the registry since
2019
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone: (239) 208-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 2400 S Avenue A, Yuma, AZ 85364-7127 — (928) 344-2000
  • 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116-3276 — (816) 472-5157
  • 1028 Main St Fl 3, Buffalo, NY 14202-1102 — (716) 859-5505
  • 630 Eaton Ave, Hamilton, OH 45013-2767 — (513) 867-2000
  • 2801 N Gantenbein Ave, Portland, OR 97227-1623 — (503) 413-8407
  • 6411 Fannin St, Houston, TX 77030-1501 — (713) 704-4000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME163526 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence U4918 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence 2023050076 (MO)
Neurology Physician Taxonomy 2084N0400X · Licence 339110 (NY)
Neurology Physician Taxonomy 2084N0400X · Licence 129103 (MT)
Neurology Physician Taxonomy 2084N0400X · Licence MD220486 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence 78646 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence ME163526 (FL)

Record details

NPI number1619436474
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Piedmont Athens Hospitalist Physicians Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

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