Active NPI
Samantha Light, MD
- Pediatrics Physician
- Cedar Park, TX
National Provider Identifier
1154069714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP10078867
- Practice address
- 1301 Medical Pkwy Ste 200
Cedar Park, TX 78613-2529 - Phone
- (512) 324-0975
- NPI assigned
- May 24, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10078867 | TX | Primary |
Addresses
Primary practice location
1301 Medical Pkwy Ste 200
Cedar Park, TX 78613-2529
Mailing address
1301 Medical Pkwy Ste 200
Cedar Park, TX 78613-2529
Phone (512) 324-0975
Other practice location 1
1301 Barbara Jordan Blvd Ste 304
Austin, TX 78723-3080
Phone (512) 324-6534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tulane University School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3078
1345 Philomena St
Austin, TX 78723-3210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10078867 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1154069714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 MEDICAL PKWY STE 200",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132529",
"telephone_number": "512-324-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MEDICAL PKWY STE 200",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132529",
"telephone_number": "512-324-0975"
}
],
"practiceLocations": [
{
"address_1": "1301 Barbara Jordan Blvd Ste 304",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787233080",
"country_code": "US",
"telephone_number": "512-324-6534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGHT",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10078867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.