Active NPI
Samuel Richard Guba, MD
- Surgery Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 37265
- Practice address
- 2111 14TH St
Meridian, MS 39301-4041 - Phone
- (601) 693-3834
- Fax
- (601) 693-8239
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-50816 | KS | |
| Surgery Physician | 208600000X | BP10071314 | TX | |
| Surgery Physician | 208600000X | 2025011100 | MO | |
| Surgery Physician | 208600000X | 37265 | MS | Primary |
Addresses
Primary practice location
2111 14TH St
Meridian, MS 39301-4041
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000
Other practice location 2
2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000
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
- General Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
P O Box
650859 Dept 710
Dallas, TX 75265-0859
PO Box
Dallas, TX 75265
Hospital & facility affiliations
- Menorah Medical Center
- Lee'S Summit Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-50816 | KS | MD | Surgery Physician |
| 2025011100 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Plaza Family Practice LLC | Current | Accepting new patients |
Locations
1811 Wakarusa Dr
Ste 101
Lawrence, KS 66047
Phone (913) 345-3650
5100 W 110th St
Ste 110
Overland Park, KS 66211
5100 W 110th St
Ste 100110
Overland Park, KS 66211
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
1980 SE Blue Pkwy
Ste 2120
Lees Summit, MO 64063
Phone (913) 469-6447
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- samuel.guba@hca2.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1972543494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1225085871
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1326669409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 14TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014041",
"telephone_number": "601-693-3834",
"fax_number": "601-693-8239"
}
],
"practiceLocations": [
{
"address_1": "1102 Constitution Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014001",
"country_code": "US",
"telephone_number": "601-703-5000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 14th St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014040",
"country_code": "US",
"telephone_number": "601-553-6000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBA",
"first_name": "SAMUEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-50816",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10071314",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2025011100",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "37265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.