Individual provider Active NPI

Connor Stonesifer, MD

  • Dermatology Physician
  • Estero, FL
National Provider Identifier
1154070217
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME181314 Issued in FL
Practice address
10200 Arcos Ave Ste 201
Estero, FL 33928-3529
Phone
(239) 390-3376
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME181314 FL Primary

Addresses

Primary practice location

10200 Arcos Ave Ste 201
Estero, FL 33928-3529

Mailing address

10200 Arcos Ave Ste 201
Estero, FL 33928-3529
Phone (239) 390-3376

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
I20260608001370 FL Practitioner - Dermatology 8820569171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10200 Arcos Ave
Suite 201
Estero, FL 33928-3528

500 W Jefferson St
Louisville, KY 40202-2881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME181314FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Estero Dermatology & Skin Surgery Center, LLC Dermatology CurrentSince Jun 1, 2026 Accepting new patients

Locations

10200 Arcos Ave
Ste 201
Estero, FL 33928
Phone (239) 390-3376

5100 Tamiami Trl N
Ste 102
Naples, FL 34103
Phone (239) 262-7546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1154070217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283529",
            "telephone_number": "239-390-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283529",
            "telephone_number": "239-390-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONESIFER",
        "first_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME181314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.