Active NPI
Samaris Berenice Corona, MD
- Obstetrics & Gynecology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 151418
- Practice address
- 9021 Park Royal Dr
Fort Myers, FL 33908-9617 - Phone
- (239) 432-5858
- Fax
- (239) 482-6297
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 151418 | FL | Primary |
Addresses
Primary practice location
9021 Park Royal Dr
Fort Myers, FL 33908-9617
Mailing address
9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone (239) 432-5858
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2563
Other practice location 2
1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone (239) 574-2229
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
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone (239) 481-5437
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151418 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womencare PA | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337
1606 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-2229
9021 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 432-5858
3230 Forum Blvd
Fort Myers, FL 33905
Phone (239) 432-5858
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- samaris.corona.1@2183.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Specialist
- Orlando, FL
- NPI 1366529042
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1619401296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9021 PARK ROYAL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089617",
"telephone_number": "239-432-5858",
"fax_number": "239-482-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9021 PARK ROYAL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089617",
"telephone_number": "239-432-5858",
"fax_number": "239-482-6297"
}
],
"practiceLocations": [
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-2563",
"fax_number": "513-862-4980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1265 Viscaya Pkwy",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339903237",
"country_code": "US",
"telephone_number": "239-574-2229",
"fax_number": "239-574-2762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORONA",
"first_name": "SAMARIS",
"middle_name": "BERENICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-20",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "151418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.