Samuel Anthony Minaker, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

V9664 Issued in TX

Practice address

1201 W Grande Blvd
Tyler, TX 75703-6124

Phone

(903) 597-4644

Fax

(903) 266-9449

NPI assigned

Jul 2, 2021

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, IL, TX3 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 3

Specialty

Ophthalmology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harshi Bains MD PAGroup PAC ID 3375514623, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sminaker@harshibains.intellechartdirect.net
• Direct secure messaging: sminaker@illret.intellechartdirect.net

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.

• Harshi Bains Mdpa

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1275644049
  Medicare reassignment Care Compare group NPD
• Eye Center Physicians, LTD.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1992715650
  Medicare reassignment NPD
• Illinois Retina Associates PLLC

  dba The Retina Center

  • Retina Specialist (Ophthalmology) Physician
  • Orland Park, IL
  • NPI 1225038870

  IN

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1174194955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 CASCADES SHORELINE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757098902",
            "telephone_number": "773-590-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036124",
            "telephone_number": "903-597-4644",
            "fax_number": "903-266-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAKER",
        "first_name": "SAMUEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036155679",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "V9664",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "V9664",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036.155679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036155679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kacee Millsap, MOT/OTR
• Melody Millsap, COTA
• Lisa Milstead, PT
• Christian Mims
• Derick Mims
• Mind and Motion PLLC
• Minds-N-Renewal Counseling Link
• Timothy I Ming, LCDC
• Matthew Shane Ministrelli
• William Elias Mirabal, PA-C

• Ophthalmology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.

Verify at the official NPI Registry.