Organization Active NPI

Myles Rubin Samotin MD PA

Doing business as Samotin Orthopaedics

  • Orthopaedic Foot and Ankle Surgery Physician
  • Bonita Springs, FL
National Provider Identifier
1730222662
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
MYLES RUBIN SAMOTIN MD PA
Doing business as
Samotin Orthopaedics
Practice address
9240 Bonita Beach Rd SE Ste 2200
Bonita Springs, FL 34135-4251
Phone
(239) 514-4200
Fax
(239) 514-3373
NPI assigned
Feb 14, 2007
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dr. Myles Rubin Samotin, M.D.NPI 1255330288
Title
President
Phone
(239) 514-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 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

Other names 1

  • Samotin Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000551 FL Part B Supplier - Clinic/Group Practice 3678467404 Receives reassigned benefits from 2 practitioners
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1730222662",
    "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": {
        "organization_name": "MYLES RUBIN SAMOTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SAMOTIN",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "RUBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-514-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samotin Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samotin Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.