Individual provider Active NPI

Samith Sandadi, M.D.

  • Gynecologic Oncology Physician
  • Fort Myers, FL
National Provider Identifier
1790980142
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME120588 Issued in FL
Practice address
8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809
Phone
(239) 319-3714
Fax
(239) 334-0404
NPI assigned
Jun 17, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57.011526 OH
Gynecologic Oncology Physician 207VX0201X ME120588 FL Primary
Gynecologic Oncology Physician 207VX0201X 257005 NY

Addresses

Primary practice location

8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 319-3714

Other identifiers 4

IdentifierTypeStateIssuer
012700700MedicaidFL
375833OtherFLAVMED
1017383OtherFLWELLCARE
4629260OtherFLCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssandadi86675@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

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
I20140820002331 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0143448910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

8925 Colonial Ctr Dr
Fort Myers, FL 33905-7813

8931 Colonial Ctr Dr
Fort Myers, FL 33905-7809

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy18
Melanoma (skin cancer) excision1-10
Removal of the uterus41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.011526OHMDObstetrics & Gynecology Physician
ME120588FLMDGynecologic Oncology Physician
257005NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC Gynecologic Oncology CurrentSince Aug 1, 2014 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 1, 2014 Accepting new patients
Lee Health System Inc CurrentSince Dec 1, 2025 Accepting new patients
Lee Health System Inc Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8925 Colonial Center Dr
Ste 1001
Fort Myers, FL 33905
Phone (239) 343-9600

8931 Colonial Center Dr
Ste 400
Fort Myers, FL 33905
Phone (239) 319-3714

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

1670 N University Dr
Ste A
Pompano Beach, FL 33071
Phone (954) 227-6747

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: samith.sandadi@fgo.directbygreenway.com
  • Direct secure messaging: ssandadi86675@direct.leememorial.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1790980142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-319-3714",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 COLONIAL CENTER DR STE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057809",
            "telephone_number": "239-319-3714",
            "fax_number": "239-334-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDADI",
        "first_name": "SAMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57.011526",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME120588",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "257005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012700700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "375833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1017383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4629260",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssandadi86675@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.