Individual provider Active NPI

Samantha Alexa Marrone, MD

  • Dermatology Physician
  • Orlando, FL
National Provider Identifier
1780030130
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME137599 Issued in FL
Practice address
70 W Gore St Ste 200a
Orlando, FL 32806-1124
Phone
(407) 581-2888
Fax
(407) 481-0073
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME137599 FL Primary

Addresses

Primary practice location

70 W Gore St Ste 200a
Orlando, FL 32806-1124

Mailing address

70 W Gore St Ste 200a
Orlando, FL 32806-1124
Phone (407) 581-2888

Other practice location 1

1300 Miccosukee Rd
FSU/TMH Internal Medicine Residency Program
Tallahassee, FL 32308-5054
Phone (850) 431-7900

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
I20200603000746 FL Practitioner - Dermatology 3577857002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald C Knipe MD PAGroup PAC ID 1557338134, 5 clinicians

Practice addresses (Care Compare)

70 W Gore St
Suite 200a
Orlando, FL 32806-1124
Phone 40758128881036

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision257
Removal of skin lesions1073
Removal of nail tissue1-10
Removal or shaving of skin growth73
Skin biopsy630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME137599FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald C Knipe MD PA Dermatology CurrentSince Jul 1, 2020 Accepting new patients

Locations

70 W Gore St
Ste 200A
Orlando, FL 32806
Phone (407) 581-2888

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00250

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1780030130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W GORE ST STE 200A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-581-2888",
            "fax_number": "407-481-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W GORE ST STE 200A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-581-2888",
            "fax_number": "407-481-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Miccosukee Rd",
            "address_2": "FSU/TMH Internal Medicine Residency Program",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085054",
            "country_code": "US",
            "telephone_number": "850-431-7900",
            "fax_number": "850-431-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRONE",
        "first_name": "SAMANTHA",
        "middle_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME137599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.