Individual provider Active NPI

Myles Rubin Samotin, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Bonita Springs, FL
National Provider Identifier
1255330288
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
ME0072517 Issued in FL
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

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000742 FL Practitioner - Orthopedic Surgery 4981599735 Reassigns benefits to 1 organization

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

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Myles Rubin Samotin MD PA Foot and Ankle Surgery CurrentSince Aug 1, 1997 Accepting new patients

Locations

9240 Bonita Beach Rd SE
Ste 2200
Bonita Springs, FL 34135
Phone (239) 514-4200

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.