DR. IVAN MARK SAMANO (DDS) – Dentist, NPI 1659468361

DR. IVAN MARK SAMANO (DDS) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 18371 (MI). The NPI Number for DR. IVAN MARK SAMANO (DDS) is 1659468361

Main info

Male
24 Years Of Experience
Name
DR. IVAN MARK SAMANO (DDS)
NPI
1659468361
Phone
(248) 290-2900
Address
50 W BIG BEAVER
Enumeration Date
6 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Secondary Phone
2492902900
Graduation Year
2002 (24 years ago)
PAC ID
9234423401
Group Practice PAC ID
5092149310
Professional Enrollment ID
I20191219002006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. IVAN MARK SAMANO (DDS)

  • 50, West Big Beaver Road, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    STE 100 A

    BLOOMFIELD HILLS, MI 48304

    Phone: (248) 290-2900

    Fax: (248) 290-2904

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: ZIMVIE INC. ($144).

Total Amount

$278

General + Research + Ownership

Payments

7

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191219002006IOral SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092149310View full group profile

Reviews

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Frequently asked questions

Is DR. IVAN MARK SAMANO (DDS) listed with a National Provider Identifier?
Yes — DR. IVAN MARK SAMANO (DDS) has NPI 1659468361 on file in the registry.
Active or inactive — what applies to DR. IVAN MARK SAMANO (DDS)?
You should see DR. IVAN MARK SAMANO (DDS) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. IVAN MARK SAMANO (DDS)?
At a glance, DR. IVAN MARK SAMANO (DDS) is tied to Dentist. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. IVAN MARK SAMANO (DDS) registered?
Use Bloomfield Hills, Michigan as the headline location for DR. IVAN MARK SAMANO (DDS) here.
Does DR. IVAN MARK SAMANO (DDS) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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