Individual provider Active NPI

Terri-Ann Patricia Samuels, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Bellaire, TX
National Provider Identifier
1275717431
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
N7746 Issued in TX
Practice address
6750 West Loop S Ste 1060
Bellaire, TX 77401-4119
Phone
(832) 831-0362
Fax
(866) 313-7527
NPI assigned
Dec 24, 2007
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X N7746 TX Primary

Addresses

Primary practice location

6750 West Loop S Ste 1060
Bellaire, TX 77401-4119

Mailing address

2171 University Blvd
Houston, TX 77030-1218
Phone (832) 831-0362

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 Medicine

State licenses

LicenseStateTypeSpecialty
N7746TXMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
002874NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dancing Doc LLC Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients

Locations

6750 West Loop S
Ste 1060
Bellaire, TX 77401
Phone (713) 521-0555

Interoperability endpoints

  • Direct secure messaging: terri-ann.samuels.1@15117.direct.athenahealth.com
  • Direct secure messaging: tsamuels328595@directhoustonmethodist.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1275717431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 UNIVERSITY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301218",
            "telephone_number": "832-831-0362",
            "fax_number": "832-995-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 1060",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014119",
            "telephone_number": "832-831-0362",
            "fax_number": "866-313-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TERRI-ANN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "N7746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.