Samantha Lee Kubiak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15687 Issued in TX

Practice address

12141 Richmond Ave
Houston, TX 77082-2408

Phone

(281) 558-3444

NPI assigned

Apr 28, 2022

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1336884014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 FULFORD POINT LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947586",
            "telephone_number": "281-221-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-558-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2923 Fulford Point Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774947586",
            "country_code": "US",
            "telephone_number": "281-221-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Min-Yin Kuan, O.T.R.
• Deborah A. Kuban, M.D.
• Joshua David Kuban, MD, MMS
• Kubara Psychiatry & Behavioral Health LLC
• Renee Kubeczka, PT, DPT
• Shelby Lucille Kubicki, MD
• Kuc Health Care Services Inc
• Jade Kuchar
• Jennifer R Kuck, P.T.
• Cynthia Kudakachira, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.