NPIMap

Individual provider Active NPI

Samora Y Cotterell, MD

  • Hospitalist Physician
  • Miami, FL
National Provider Identifier
1235318320
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME98932 Issued in FL
Practice address
1611 NW 12TH Ave
Acc West Room 483
Miami, FL 33136-1005
Phone
(305) 585-6408
Fax
(305) 355-2166
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98932 FL
Hospitalist Physician 208M00000X ME98932 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Acc West Room 483
Miami, FL 33136-1005

Mailing address

3801 Biscayne Blvd
3Rd Floor
Miami, FL 33137-9800
Phone (305) 571-0620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000605 FL Practitioner - Internal Medicine 5991874414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98932FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Internal Medicine CurrentSince Jan 14, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Feb 25, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Oct 20, 2009 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Public Health Trust of Miami Dade County Florida Internal Medicine CurrentSince Oct 20, 2009 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Feb 25, 2023 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients
South Florida International Cardiology Consultants Inc Internal Medicine Past Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1611 NW 12th Ave
Bldg 5TH
Miami, FL 33136
Phone (305) 585-1280

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1611 NW 12th Ave
Rm 483
Miami, FL 33136
Phone (305) 585-6408

1611 NW 12th Ave
#600B
Miami, FL 33136
Phone (305) 355-1245

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1235318320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "ACC WEST ROOM 483",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6408",
            "fax_number": "305-355-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTERELL",
        "first_name": "SAMORA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98932",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME98932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.