Individual provider Active NPI

Sammy Taha, MD

  • Emergency Medicine Physician
  • Fort Hood, TX
National Provider Identifier
1124555990
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S7797 Issued in TX
Practice address
36065 Santa Fe Ave
Attn: Residency Center, ER Box 276
Fort Hood, TX 76544-5060
Phone
(254) 553-4614
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S7797 TX Primary
Emergency Medicine Physician 207P00000X 01081255A IN

Addresses

Primary practice location

36065 Santa Fe Ave
Attn: Residency Center, ER Box 276
Fort Hood, TX 76544-5060

Mailing address

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (202) 741-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201203001167 TX Practitioner - Emergency Medicine 2365853942 Reassigns benefits to 5 organizations
I20240711004019 DC Practitioner - Emergency Medicine 2365853942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01081255AINMDEmergency Medicine Physician
S7797TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Aug 20, 2021 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Aug 20, 2021 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Mar 8, 2022 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Jun 17, 2024 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 1, 2023 Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine Past Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

211 W Frontier Pkwy
Prosper, TX 75078
Phone (469) 868-9100

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

9110 Jordan Ln
Ste 200
Woodway, TX 76712
Phone (254) 399-0740

3811 Fairfax Dr
Ste 300
Arlington, VA 22203

Organizations & group practices 7

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 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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1124555990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 L ST NW STE 450",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371541",
            "telephone_number": "202-741-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "address_2": "ATTN: RESIDENCY CENTER, ER BOX 276",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "SAMMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S7797",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01081255A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.