Active NPI
Stephanie Costa Byrum, MD
- Surgery Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME178827
- Practice address
- 8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813 - Phone
- (239) 343-9325
- Fax
- (239) 468-7950
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36849 | AZ | |
| Surgery Physician | 208600000X | ME178827 | FL | Primary |
Addresses
Primary practice location
8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813
Mailing address
PO Box 2147
Suite #450
Fort Myers, FL 33902-2147
Phone (239) 343-9325
Other practice location 1
2646 E. Banner Gateway Drive
Gilbert, AZ 85234-2165
Phone (480) 256-6444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129958600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000
2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444
8925 Colonial Ctr Dr
Suite 1000
Fort Myers, FL 33905-7813
Phone (239) 343-9560
Hospital & facility affiliations
- Banner Gateway Medical Center
- Lee Memorial Hospital
- Gulf Coast Medical Center Lee Health
- Banner Thunderbird Medical Center
- Cape Coral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.42 of 100
- Quality
- 62.19
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 61.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 71 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36849 | AZ | MD | Surgery Physician |
| ME178827 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Lee Health System Inc | Family Medicine | Current | Accepting new patients |
| Arizona Specialty Physicians | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523
1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
2940 E Banner Gateway Dr
Ste 450
Gilbert, AZ 85234
Phone (480) 256-3676
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1515 N 9th St
Ste D
Phoenix, AZ 85006
Phone (602) 252-6855
925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498
14416 W Meeker Blvd
Ste 301
Sun City West, AZ 85375
Phone (623) 876-3800
14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
8925 Colonial Center Dr
Ste 1000
Fort Myers, FL 33905
Phone (239) 343-9560
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1033730429
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1922049634
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1083833602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"address_2": "SUITE #450",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9325",
"fax_number": "239-468-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 COLONIAL CENTER DR STE 1000",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057813",
"telephone_number": "239-343-9325",
"fax_number": "239-468-7950"
}
],
"practiceLocations": [
{
"address_1": "2646 E. Banner Gateway Drive",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342165",
"country_code": "US",
"telephone_number": "480-256-6444",
"fax_number": "480-256-4734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRUM",
"first_name": "STEPHANIE",
"middle_name": "COSTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "36849",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME178827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129958600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.