NPIMap

Individual provider Active NPI

Lara Samarneh

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1003490533
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1003490533 Issued in TX
Practice address
6431 Fannin St.
Jjl270
Houston, TX 77030
Phone
(713) 500-0758
Fax
(713) 500-0758
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1003490533 TX Primary

Addresses

Primary practice location

6431 Fannin St.
Jjl270
Houston, TX 77030

Mailing address

3426 Yale St
Bsl468
Houston, TX 77021
Phone (713) 518-6217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726000696 CO Practitioner - Emergency Medicine 8527504521 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Community Emergency Services of Colorado Inc.Group PAC ID 2466711536, 167 clinicians

Practice addresses (Care Compare)

16320 W 64TH Ave
Arvada, CO 80007-7415
Phone (303) 925-4560

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Phone (303) 649-3620

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

760 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4360

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1003490533TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc Emergency Medicine CurrentSince Jun 23, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 23, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1003490533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 YALE ST",
            "address_2": "BSL468",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77021",
            "telephone_number": "713-518-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST.",
            "address_2": "JJL270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-0758",
            "fax_number": "713-500-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARNEH",
        "first_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "1003490533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.