Individual provider Active NPI

Maged Samaan, M.D

  • Family Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1164447355
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82260 Issued in FL
Practice address
2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161
Phone
(386) 671-2792
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME82260 FL Primary

Addresses

Primary practice location

2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161

Mailing address

2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161
Phone (386) 671-2792

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
I20070111000291 FL Practitioner - Geriatric MedicinePractitioner - Family Practice 1355300724 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82260FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Wound Care LLC CurrentSince Sep 30, 2025 Accepting new patients
Sigma Medical Group, LLC Family Medicine PastSince Jun 28, 2017 Accepting new patients
Ante Rudez MD PA Family Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1164447355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 MASON AVE STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175161",
            "telephone_number": "386-671-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 MASON AVE STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175161",
            "telephone_number": "386-671-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "MAGED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.