Samuel Del Rio, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME75762 Issued in FL

Practice address

255 Fortenberry Rd
Suite a-1
Merritt Island, FL 32952-3601

Phone

(321) 459-1192

Fax

(321) 459-2304

NPI assigned

Apr 19, 2006

Last updated

Apr 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FWC Urogynecology LLCGroup PAC ID 8022276542, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
• Viera Hospital Hospital, Melbourne, FL, CCN 100315
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.del.rio.1@2183.direct.athenahealth.com
• Direct secure messaging: sdelrio71824@epicdirect.hf.org

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.

• FWC Urogynecology, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Tampa, FL
  • NPI 1578859732
  Medicare reassignment Care Compare group NPD
• Partners in Womens Health LLC

  dba Partners In Women's Health

  • Obstetrics & Gynecology Physician
  • Merritt Island, FL
  • NPI 1285695312
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• North Brevard County Hospital District

  dba Parrish Medical Center

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1265497663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11406",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "321-459-1192",
            "fax_number": "321-459-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FORTENBERRY RD",
            "address_2": "SUITE A-1",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523601",
            "telephone_number": "321-459-1192",
            "fax_number": "321-459-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0075762",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME75762",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME75762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254387700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Ann De Bengson, A.P.
• Nadine Rose De Freitas, PT, DPT, ATC
• Jennifer L Deforge, ARNP
• Stacey Dehn
• Destiny Dejesus
• Armando Francisco Delgado Jr., M.D.
• Christina Delgado
• Lizeth Rebeca Delgado, OD
• Michael Delk, M.D.
• Justene Delman, D.C.

• Gynecology Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.

Verify at the official NPI Registry.