Active NPI
Samuel Eric Willis, MD
- Family Medicine Physician
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M5584
- Practice address
- 927 Shaw Ave
Pasadena, TX 77506-1430 - Phone
- (713) 982-5900
- NPI assigned
- Jan 3, 2007
- Last updated
- May 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M5584 | TX | Primary |
Addresses
Primary practice location
927 Shaw Ave
Pasadena, TX 77506-1430
Mailing address
1 Baylor PLZ
Department of Family Medicine
Houston, TX 77030-3411
Other practice location 1
1 Baylor Plz
Department of Family Medicine
Houston, TX 77030-3411
Phone (713) 798-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00457331 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
1623 Airline Dr
Houston, TX 77009-3607
Phone (713) 798-1000
3550 Swingle Rd
Houston, TX 77047-3763
Phone (713) 547-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.87 of 100
- Quality
- 87.77
- Improvement activities
- 40
- Cost
- 76.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5584 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Family Medicine | Current | Accepting new patients |
| Abundantly Living Home Care LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Abundantly Living Home Care LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
927 Shaw Ave
Pasadena, TX 77506
Phone (713) 982-5168
Organizations & group practices 5
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.
-
dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- In Home Supportive Care Agency
- Pearland, TX
- NPI 1104708924
-
- In Home Supportive Care Agency
- Pearland, TX
- NPI 1992446850
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
dba HCHD Internal Medicine
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harris Health
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1396892410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"address_2": "DEPARTMENT OF FAMILY MEDICINE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 SHAW AVE",
"city": "PASADENA",
"state": "TX",
"postal_code": "775061430",
"telephone_number": "713-982-5900"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_2": "Department of Family Medicine",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "SAMUEL",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M5584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00457331",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.