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

Samir Kashyap, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154734606

Samir Kashyap, DO is a Neurosurgery in Jacksonville, Florida. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2014, 12 years ago. Practices with Community Health Partners, a 505-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New Mexico.

Years since qualifying
12
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
FL, NM
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-3160

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence OS18866 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RS2014-0559 (NM)

Record details

NPI number1154734606
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2014 (12 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jacksonville