NPIMap

Individual provider Active NPI

Samy Mamdouh Mohamed Heshmat, MD

  • Urology Physician
  • Temple, TX
National Provider Identifier
1124218664
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
U0488 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-3641
Phone
(254) 724-2111
NPI assigned
Jul 31, 2007
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E-10949 AR
Pediatric Urology Physician 2088P0231X 274247 MA
Pediatric Urology Physician 2088P0231X 12523 ND
Pediatric Urology Physician 2088P0231X 57.012388 OH
Urology Physician 208800000X U0488 TX Primary
Urology Physician 208800000X 61070 MN

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-3641

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Other practice location 2

1609 W 40th Ave Ste 301
Pine Bluff, AR 71603-6366
Phone (870) 890-4848

Other practice location 3

100 Wason Ave Ste 120
Springfield, MA 01107
Phone (413) 241-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheshmat15663254@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170316002134 MN Practitioner - Urology 9234370354 Reassigns benefits to 2 organizations
I20231107003772 TX Practitioner - Urology 9234370354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Metroplex Clinic Physicians IncGroup PAC ID 9537183124, 12 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2207 S Clear Creek Rd
Suite 202
Killeen, TX 76549-4133
Phone (254) 519-8921

239 W Business
190 Baylor Scott and White Clinic Coppe
Copperas Cove, TX 76522-2912
Phone (254) 542-9000

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495

415 Jefferson St N
Wadena, MN 56482-1296

540 W 5TH St
Suite 420
Odessa, TX 79761-5076
Phone (432) 640-6368

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61070MNMDUrology Physician
U0488TXMDUrology Physician
274247MAMDPediatric Urology Physician
12523NDMDPediatric Urology Physician
57.012388OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Current Accepting new patients
MCH Professional Care CurrentSince Nov 1, 2025 Accepting new patients
Scott & White Clinic CurrentSince Sep 28, 2023 Accepting new patients
Scott and White Clinic CurrentSince Sep 28, 2023 Accepting new patients
Metroplex Clinic Physicians, Inc. Urology CurrentSince Apr 6, 2026 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Pioneer Valley Urology, PC Urology PastSince Nov 29, 1994 Accepting new patients
Radiology & Imaging Inc Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2207 Clear Creek Rd
Ste 202
Killeen, TX 76549
Phone (254) 519-2020

2405 Clear Creek Rd
Killeen, TX 76549
Phone (254) 618-1600

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

540 W 5th St
Ste 420
Odessa, TX 79761
Phone (432) 582-2280

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885
  • Direct secure messaging: sheshmat1252035@direct.sw.org

Organizations & group practices 12

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 8

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1124218664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765083641",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581023641",
            "country_code": "US",
            "telephone_number": "701-234-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1609 W 40th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716036366",
            "country_code": "US",
            "telephone_number": "870-890-4848",
            "fax_number": "501-410-1148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wason Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01107",
            "country_code": "US",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESHMAT",
        "first_name": "SAMY",
        "middle_name": "MAMDOUH MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-10949",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MA",
            "license": "274247",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "ND",
            "license": "12523",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "57.012388",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "U0488",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "61070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheshmat15663254@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "801 Broadway N",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581023641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.