Individual provider Active NPI

Samuel Akinyeye, MD

  • Gastroenterology Physician
  • Sugar Land, TX
National Provider Identifier
1023462876
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35136187 Issued in OH
Practice address
16537 Southwest Fwy Ste 110
Sugar Land, TX 77479-7239
Phone
(281) 276-1960
Fax
(281) 276-1961
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35136187 OH Primary

Addresses

Primary practice location

16537 Southwest Fwy Ste 110
Sugar Land, TX 77479-7239

Mailing address

16537 Southwest Fwy Ste 110
Sugar Land, TX 77479-7239
Phone (281) 276-1960

Other identifiers 1

IdentifierTypeStateIssuer
0493811MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002151 OH Practitioner - Gastroenterology 1153658547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1717 W Main St
Suite 203
Newark, OH 43055-1362
Phone (220) 564-2950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35136187OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Nov 5, 2025 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Nov 5, 2025 Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1717 W Main St
Apt 203
Newark, OH 43055
Phone (220) 564-2950

Interoperability endpoints

  • Direct secure messaging: samuel.akinyeye.1@19222.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1023462876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16537 SOUTHWEST FWY STE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797239",
            "telephone_number": "281-276-1960",
            "fax_number": "281-276-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16537 SOUTHWEST FWY STE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797239",
            "telephone_number": "281-276-1960",
            "fax_number": "281-276-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINYEYE",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35136187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.