Individual provider Active NPI

Samantha Elizabeth Frank, MD

  • Otolaryngology Physician
  • Bradenton, FL
National Provider Identifier
1053818567
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
164619 Issued in FL
Practice address
701 Manatee Ave W Ste 202
Bradenton, FL 34205-8624
Phone
(941) 748-2455
Fax
(941) 746-4554
NPI assigned
Apr 11, 2018
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 164619 FL Primary

Addresses

Primary practice location

701 Manatee Ave W Ste 202
Bradenton, FL 34205-8624

Mailing address

701 Manatee Ave W Ste 202
Bradenton, FL 34205-8624
Phone (941) 748-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928003640 FL Practitioner - Otolaryngology 9931458650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Associates of Manatee, PAGroup PAC ID 6406820026, 11 clinicians

Practice addresses (Care Compare)

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8645
Phone (941) 748-2455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164619FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose, and Throat Associates of Manatee, PA CurrentSince Oct 2, 2023 Accepting new patients

Locations

1838 Rye Rd
Bradenton, FL 34212
Phone (941) 462-2004

701 Manatee Ave W
Ste 202
Bradenton, FL 34205
Phone (941) 748-2455

8340 Lakewood Ranch Blvd
Ste 180
Lakewood Ranch, FL 34202
Phone (941) 748-2455

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: samantha.frank@xdr.hhchealthdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1053818567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W STE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W STE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "164619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.