NPIMap

Individual provider Active NPI

Samantha Lorel Hinds-Campa

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1083618797
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4000 Issued in TX
Practice address
690 S Loop 336 W
Ste 222
Conroe, TX 77304-3319
Phone
(936) 756-6661
Fax
(936) 756-6681
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4000 TX Primary

Addresses

Primary practice location

690 S Loop 336 W
Ste 222
Conroe, TX 77304-3319

Mailing address

690 S Loop 336 W
Ste 222
Conroe, TX 77304-3319
Phone (936) 756-6661

Other identifiers 1

IdentifierTypeStateIssuer
152200502TMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040609001144 TX Practitioner - Family Practice 9739162967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
College Park Medicine,PAGroup PAC ID 7113964966, 11 clinicians

Practice addresses (Care Compare)

5834 Louetta Rd
Suite F
Spring, TX 77379-7884
Phone (936) 271-2555

690 S Loop 336
Conroe, TX 77304-3320
Phone (936) 523-7041

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Medicine,PA Family Medicine CurrentSince Mar 2, 2020 Accepting new patients
Lone Star Community Health Center, Inc. Past Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

690 S Loop 336 W
Ste 222
Conroe, TX 77304
Phone (936) 756-6661

690 S Loop 336 W
Ste 140
Conroe, TX 77304
Phone (936) 441-0046

5834 Louetta Rd
Ste F
Spring, TX 77379
Phone (832) 698-4291

17191 St Lukes Way
Ste 200
The Woodlands, TX 77384
Phone (936) 271-2555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCFBA/Endpoint/BJCFBA

Organizations & group practices 3

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 10

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1083618797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W",
            "address_2": "STE 222",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043319",
            "telephone_number": "936-756-6661",
            "fax_number": "936-756-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W",
            "address_2": "STE 222",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043319",
            "telephone_number": "936-756-6661",
            "fax_number": "936-756-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDS-CAMPA",
        "first_name": "SAMANTHA",
        "middle_name": "LOREL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152200502T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.