Individual provider Active NPI

Bassem Mourad Boutros Samaan, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1679740302
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME114899 Issued in FL
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20130828000686 FL Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 9 organizations
I20230126002739 KY Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 2 organizations
I20231103001888 WI Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 10 organizations
I20240124004658 IN Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 1 organization
I20241114000998 NY Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 2 organizations
I20250630004198 MI Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 6 organizations
I20250923002964 DC Practitioner - Diagnostic Radiology 8224271945 Reassigns benefits to 1 organization

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
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Aspirus Iron River Hospital and Clinics IncGroup PAC ID 5294648929, 50 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Northern Arizona Radiology P CGroup PAC ID 4880683085, 20 clinicians
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, 165 clinicians

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 Hospital, Rocky Mount, NC, CCN 340147
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012
  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
54.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260585NYMDDiagnostic Radiology Physician

Practice roles (47 of 51)

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine CurrentSince Jun 24, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 11, 2020 Accepting new patients
Divine Savior Healthcare, Inc. Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Sep 8, 2024 Accepting new patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Sep 24, 2024 Accepting new patients
Northgate Medical Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
KND Development 59 LLC CurrentSince Aug 15, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jul 1, 2025 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 CurrentSince Jun 24, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Dec 15, 2022 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. CurrentSince Jun 24, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Aug 15, 2025 Accepting new patients
White Plains Physician Services PC Family Medicine CurrentSince Dec 16, 2024 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Dec 15, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Keweenaw CurrentSince Jun 24, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine CurrentSince Jun 24, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 11, 2020 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Aug 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Nov 1, 2023 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. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Nov 24, 2025 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.

View all 48

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": "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

Verify at the official NPI Registry.