NPIMap

Individual provider Active NPI

Mena Michael Danial Samaan, M.D.

  • Vascular Neurology Physician
  • Fayetteville, NC
National Provider Identifier
1437590320
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
2025-00058 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-3350
Fax
(910) 321-6253
NPI assigned
Jul 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME164258 FL
Vascular Neurology Physician 2084V0102X ME164258 FL
Vascular Neurology Physician 2084V0102X U6571 TX
Vascular Neurology Physician 2084V0102X 2025-00058 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

27800 Northwest Fwy
Cypress, TX 77433-5302

Other practice location 1

27800 Northwest Fwy
Cypress, TX 77433-5302
Phone (346) 231-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190827000496 NJ Practitioner - Neurology 6608145842 Reassigns benefits to 1 organization
I20231115003947 FL Practitioner - Neurology 6608145842 Reassigns benefits to 2 organizations
I20250404002205 NC Practitioner - Neurology 6608145842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-3350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 24, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Feb 23, 2025 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jul 6, 2019 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 24, 2025 Accepting new patients
Tallahassee Neurological Clinic CurrentSince Sep 25, 2023 Accepting new patients
Cape Fear Neurosurgery CurrentSince Mar 4, 2025 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Jul 6, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

2473 Care Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 320-6054

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Interoperability endpoints

  • Direct secure messaging: msamaan22120@tallahasseememorial.direct-ci.com
  • Direct secure messaging: msamaan133505@capefearvalley.direct-ci.com
  • Direct secure messaging: msamaan360242@ahs.direct-ci.com

Organizations & group practices 11

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1437590320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-3350",
            "fax_number": "910-321-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27800 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774335302",
            "country_code": "US",
            "telephone_number": "346-231-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "MENA",
        "middle_name": "MICHAEL DANIAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME164258",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME164258",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "U6571",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "2025-00058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.