Active NPI
Ivan Alfonso Samcam, MD
- Interventional Pain Medicine Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME131378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JA096Z | Other | FL | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Florida College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Moorings IncorporatedCora Health Services IncPhysiotherapy Associates Inc
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
- Preferred Care Home Health Services
- Trilogy Home Healthcare
- Lee Memorial Hospital
- Naples Community Hospital
- Physicians Regional Medical Center - Pine Ridge
- Cape Coral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131378 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Charles K Friedman DO PA | Interventional Pain Medicine | Past | 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
- 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.
-
- Specialist
- Naples, FL
- NPI 1811177298
-
- Physical Therapy Clinic/Center
- Cape Coral, FL
- NPI 1891990206
-
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1023847563
-
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1922578566
-
- Interventional Pain Medicine Physician
- St Petersburg, FL
- NPI 1982622775
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
-
- Neurology Physician
- Naples, FL
- NPI 1922301530
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Interventional Pain Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1376517862
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
-
- Home Health Agency
- Fort Myers, FL
- NPI 1720592751
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.