Samson Philip Triantis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12319 N Mopac Expy Ste 200
Austin, TX 78758-2497

Phone

(512) 694-8888

NPI assigned

Jul 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samson.triantis.1@2946.direct.athenahealth.com

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.

• Austin Urology Institute, PA

  • Specialist
  • Austin, TX
  • NPI 1407157845
  Medicare reassignment NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1316628837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 PRESCOTT GLEN PKWY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736931",
            "telephone_number": "704-998-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582497",
            "telephone_number": "512-694-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANTIS",
        "first_name": "SAMSON",
        "middle_name": "PHILIP",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary 'Molly' Mooney Trexler, APRN, CPNP-AC/PC
• Sandra K. Treybig, M.D.
• TRG Dental Associates
• Tri-County Clinical
• Tri-County Practice Association
• Tribal Drum Recovery
• Hector Jose Tricas Vidal, DPT, PHD
• Tricity Pain Associates PA
• Danika Trierweiler, RD
• Angel Trieu-Dimaculangan

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.