Active NPI
Samuel Anene, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1093685299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19956
- Practice address
- 1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270 - Phone
- (469) 981-2648
- Fax
- (469) 981-2649
- NPI assigned
- Nov 11, 2025
- Last updated
- Apr 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19956 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270
Mailing address
1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270
Phone (469) 981-2648
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 352
Dallas, TX 75203-1270
PO Box
Suite 2736
Desoto, TX 75123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19956 | TX | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJGHCD/Endpoint/HJGHCD
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1427713239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1093685299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 352",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031270",
"telephone_number": "469-981-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 352",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031270",
"telephone_number": "469-981-2648",
"fax_number": "469-981-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANENE",
"first_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-11",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Nikole Christine Andries, CRNA
- Estefania Lopez Andrioaia, RD, LD, CDE
- Kristin M. Andruska, P.A.
- Andy Medical Equipment Inc
- Nida Anees
- Anesthesia Alliance of Dallas, P.a.
- Anesthesia by GM, P.a.
- Anesthesia Consultants of Dallas LLP
- Anesthesia Consultants of Dallas, LLP
- Anesthesia Consultants of Dallas, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.