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Dr. Samuel S Divaker , MD

Pediatrics • Mount Dora, FL

Active NPI 1437250917 Individual Practitioner Male Practitioner
Practice location in NPPES

6551 N Orange Blossom Trl Ste 229
Mount Dora, FL 327577018

Call 3523838384 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6551 N Orange Blossom Trl Ste 229

Mount Dora, FL 327577018

Telephone 3523838384
Fax 6785530329

Open Payments general payments, program year 2025

All general payments: $209.15 across 6 records.

By nature of payment

  • Food and Beverage: $209.15 across 6 records.

Reporting-company totals (3 largest of 4)

  • GlaxoSmithKline, LLC.: $145.02 across 2 records.
  • Merck Sharp & Dohme LLC: $29.81 across 2 records.
  • ALK-Abello, Inc: $19.28 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Divaker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Divaker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mount Dora and Florida

5 active clinicians are listed under Pediatrics with a practice address in Mount Dora, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $209.15.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
PENMENVY General $121.85
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $23.17
ALK-Abello, Inc
Food and Beverage
In-kind items and services
NEFFY General $19.28
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
GARDASIL 9 General $16.24
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
BEYFORTUS General $15.04
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
VAXELIS General $13.57

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL MD90893

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL ME90893

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
270372600 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20140812002343

Enrollment State Jurisdiction

FL

PECOS Control ID

7517184732

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location June 07, 2021

Registered at 6551 N ORANGE BLOSSOM TRL STE 229, MOUNT DORA, FL 327577018 (Tel: 3523838384)

📍
Updated Business Mailing Address June 07, 2021

Registered at 13506 SUMMERPORT VILLAGE PKWY # 334, WINDERMERE, FL 347867366 (Tel: 4076155005)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Pediatrics (license number reported to NPPES: FL ME90893)

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NPI Profile Active March 28, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 28, 2014

Registered at 4101 TOWN CTR BLVD, NEMOURS CHILDRENS URGENT CARE, ORLANDO, FL 328375846 (Tel: 4078503497)

📍
Business Mailing Address (Initial Record) March 28, 2014

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 197320191 (Tel: 3026514488)

👤
Provider Name / Credentials (Initial Record) March 28, 2014

Recorded as SAMUEL DIVAKER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Pediatrics (license number reported to NPPES: FL MD90893)

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437250917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: June 07, 2021
Sole Proprietor: No

Mailing Address

13506 Summerport Village Pkwy # 334

Windermere, FL 347867366

Phone: 4076155005

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.