Individual provider Active NPI

Samantha Houle

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1063218154
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012603 Issued in MI
Practice address
36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone
(734) 542-0200
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012603 MI Primary

Addresses

Primary practice location

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900

Mailing address

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone (734) 542-0200

Other practice location 1

35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone (586) 261-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250324000403 MI Practitioner - Physician Assistant 2860914561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

35735 Mound Rd
Sterling Heights, MI 48310-4728

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Mar 10, 2025 Accepting new patients
Mendelson Orthopedics PC CurrentSince Mar 10, 2025 Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1063218154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35735 Mound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104728",
            "country_code": "US",
            "telephone_number": "586-261-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.