Individual provider Active NPI

Samantha Dawn Alejos

  • Medical Physician Assistant
  • Plano, TX
National Provider Identifier
1063108025
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17398 Issued in TX
Practice address
6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181
Phone
(972) 403-8184
NPI assigned
Apr 13, 2023
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17398 TX Primary

Addresses

Primary practice location

6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181

Mailing address

6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505000258 TX Practitioner - Physician Assistant 7911475322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Practice addresses (Care Compare)

1650 W Northwest Hwy 202
Texan Allergy
Grapevine, TX 76051
Phone (512) 550-1800

7125 New Sanger Ave
504 Texan Allergy
Waco, TX 76712-4054
Phone (512) 550-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA17398TXMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1063108025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244181",
            "telephone_number": "972-403-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEJOS",
        "first_name": "SAMANTHA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.