Active NPI
Bassem Mourad Boutros Samaan, MD
- Diagnostic Radiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME114899
- Practice address
- 9126 Great Heron Cir
Orlando, FL 32836-5487 - Phone
- (201) 914-2493
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 260585 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | ME114899 | FL | Primary |
Addresses
Primary practice location
9126 Great Heron Cir
Orlando, FL 32836-5487
Mailing address
9126 Great Heron Cir
Orlando, FL 32836-5487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, WI, IN, NY, MI, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinAspirus Medford Hospital and Clinics IncAspirus Keweenaw
Practice addresses (Care Compare)
Orlando, FL 32836
Phone (252) 962-8186
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331
1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200
13 Seashore Dr
Gulf Breeze, FL 32561-2428
Phone (586) 464-0731
1313 Saint Anthony PL
Louisville, KY 40204-1740
Phone (502) 587-7001
1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121
143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100
22100 Sunnyside LN
Panama City Beach, FL 32413-1229
Phone (914) 681-1260
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
401 W Mohawk Dr
Suite 100
Tomahawk, WI 54487-2273
Phone (715) 361-2000
41 E Post Rd
White Plains, NY 10601-4607
7424 Los Pinos Blvd
Coral Gables, FL 33143-6415
Phone (812) 283-5950
9126 Great Heron Cir
Orlando, FL 32836-5487
Phone (405) 949-3011
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
Hospital & facility affiliations
- Unc Health Nash
- White Plains Hospital Center
- Integris Baptist Medical Center, Inc
- Cedar Hill Regional Medical Center
- Aspirus Divine Savior Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- Quality
- 86.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.25
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 54.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260585 | NY | MD | Diagnostic Radiology Physician |
Practice roles (47 of 51)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Divine Savior Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Radiology FPP | Diagnostic Radiology | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| East Post Road Medical Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Northgate Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Family Medicine | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Florida United Radiology LC | Diagnostic Radiology | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Family Medicine | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Aspirus Eagle River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| White Plains Physician Services PC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Family Medicine | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Eagle River Hospital, Inc. | Current | Accepting new patients | |
| Sheridan Radiology Services of Central Florida Inc | Diagnostic Radiology | Current | Accepting new patients |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Unc Physicians Network LLC | Family Medicine | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Health Physicians Kentucky LLC | Family Medicine | Past | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 49)
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
29980 Network Pl
Chicago, IL 60673
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920
807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 48
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.
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
Family Medicine
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
Diagnostic Radiology, FL
-
- Hospitalist Physician
- Louisville, KY
- NPI 1164751756
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Family Medicine, FL
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
-
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1679740302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9126 GREAT HERON CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9126 GREAT HERON CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365487",
"telephone_number": "201-914-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "BASSEM",
"middle_name": "MOURAD BOUTROS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "260585",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME114899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.