Individual provider Active NPI

Ivan Alfonso Samcam, MD

  • Interventional Pain Medicine Physician
  • Naples, FL
National Provider Identifier
1194131730
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME131378 Issued in FL
Practice address
6770 Immokalee Road
Suite 111
Naples, FL 34119
Phone
(239) 594-8002
Fax
(877) 334-1886
NPI assigned
Jul 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME131378 FL Primary
Emergency Medicine Physician 207P00000X ME131378 FL

Addresses

Primary practice location

6770 Immokalee Road
Suite 111
Naples, FL 34119

Mailing address

6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900
Phone (239) 449-3072

Other identifiers 1

IdentifierTypeStateIssuer
JA096ZOtherFLMEDICARE PTAN

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
I20170727001246 FL Practitioner - Pain ManagementPractitioner - Emergency Medicine 1850510694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Emergency Medicine
Education
University of Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Neuroscience and Spine Associates PLGroup PAC ID 7113825209, 53 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

1402 SE 16TH PL
Cape Coral, FL 33990-3819
Phone (239) 772-2363

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

8380 Riverwalk Park Blvd
Suite 320
Fort Myers, FL 33919-8758
Phone (239) 437-1121

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131378FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL Current Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Nov 14, 2022 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Nov 14, 2022 Accepting new patients
Charles K Friedman DO PA Interventional Pain Medicine PastSince Jul 1, 2012 Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients
Neuroscience and Spine Associates PL Interventional Pain Medicine Past Accepting new patients
Major Hospital Interventional Pain Medicine Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
Ste 320
Fort Myers, FL 33919
Phone (239) 437-1121

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

877 111th Ave N
Naples, FL 34108
Phone (239) 594-8002

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6770 Immokalee Rd
Unit 111
Naples, FL 34119
Phone (239) 594-8002

877 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 594-8002

Interoperability endpoints

  • Direct secure messaging: ivansamcam@nsapl.allscriptsdirect.net

Organizations & group practices 8

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 8

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1194131730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 IMMOKALEE ROAD",
            "address_2": "SUITE 111",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-594-8002",
            "fax_number": "877-334-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMCAM",
        "first_name": "IVAN",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME131378",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME131378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "JA096Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.