Individual provider Active NPI

Ariana Samaroo-Wilson

  • Family Medicine Physician
  • Lecanto, FL
National Provider Identifier
1124768676
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS22553 Issued in FL
Practice address
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone
(352) 527-6888
NPI assigned
Mar 31, 2022
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS22553 FL Primary

Addresses

Primary practice location

1990 N Prospect Ave
Lecanto, FL 34461-9792

Mailing address

1993 Harrison St
Batesville, AR 72501-7309

Other practice location 1

2385 N Lecanto Hwy
Lecanto, FL 34461-9677
Phone (352) 527-6888

Other practice location 2

3580 E Gulf To Lake Hwy
Inverness, FL 34453-3207
Phone (352) 527-6888

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
I20250729004173 FL Practitioner - Family Practice 9537676044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1980 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Internal Medicine Specialists Inc Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Pediatric and Internal Medicine Specialists Inc Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

3580 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 527-6888

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1124768676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 N Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619677",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 E Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533207",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAROO-WILSON",
        "first_name": "ARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS22553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.