Individual provider Active NPI

R. Sam Lingamfelter, D.O

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1225044084
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5604 Issued in TX
Practice address
14903 El Camino Real
Houston, TX 77062-2603
Phone
(713) 363-7640
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5604 TX Primary

Addresses

Primary practice location

14903 El Camino Real
Houston, TX 77062-2603

Mailing address

14903 El Camino Real
Houston, TX 77062-2603
Phone (713) 363-7640

Other practice location 1

2060 Space Park Dr
Suite 412
Houston, TX 77058-3600
Phone (281) 335-4095

Other practice location 2

2060 Space Park Dr
Suite 412
Houston, TX 77058-3600
Phone (281) 335-4095

Other identifiers 3

IdentifierTypeStateIssuer
8EV985OtherTXBLUE CROSS BLUE SHIELD
1821054826OtherTXGROUP NPI
037467003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225044084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "713-363-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "713-363-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Space Park Dr",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583600",
            "country_code": "US",
            "telephone_number": "281-335-4095",
            "fax_number": "281-335-4104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Space Park Dr",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583600",
            "country_code": "US",
            "telephone_number": "281-335-4095",
            "fax_number": "281-335-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINGAMFELTER",
        "first_name": "R. SAM",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EV985",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1821054826",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037467003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.