Active NPI
Myles Rubin Samotin, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Bonita Springs, FL
National Provider Identifier
1255330288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- ME0072517
- Practice address
- 9240 Bonita Beach Rd SE Ste 2200
Bonita Springs, FL 34135-4251 - Phone
- (239) 514-4200
- Fax
- (239) 514-3373
- NPI assigned
- Jul 20, 2005
- Reactivated
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | ME0072517 | FL | Primary |
Addresses
Primary practice location
9240 Bonita Beach Rd SE Ste 2200
Bonita Springs, FL 34135-4251
Mailing address
9240 Bonita Beach Rd SE Ste 2200
Bonita Springs, FL 34135-4251
Phone (239) 514-4200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- State University of New York at Buffalo School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9240 Bonita Beach Rd
Bonita Springs, FL 34135-4251
9240 Bonita Beach Rd SE
Bonita Springs, FL 34135-4251
Phone (239) 514-4200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myles Rubin Samotin MD PA | Foot and Ankle Surgery | Current | Accepting new patients |
Locations
9240 Bonita Beach Rd SE
Ste 2200
Bonita Springs, FL 34135
Phone (239) 514-4200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGAIDD/Endpoint/FGAIDD
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Bonita Springs, FL
- NPI 1730222662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1255330288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 BONITA BEACH RD SE STE 2200",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354251",
"telephone_number": "239-514-4200",
"fax_number": "239-514-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9240 BONITA BEACH RD SE STE 2200",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354251",
"telephone_number": "239-514-4200",
"fax_number": "239-514-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOTIN",
"first_name": "MYLES",
"middle_name": "RUBIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "ME0072517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.