Active NPI
Kenny Sam, D.O.
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- P6911
- Practice address
- 16750 Red Oak Dr
Houston, TX 77090-2543 - Phone
- (281) 453-7100
- NPI assigned
- Oct 23, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | P6911 | TX | |
| Mammography Clinic/Center | 261QR0206X | P6911 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | P6911 | TX | Primary |
Addresses
Primary practice location
16750 Red Oak Dr
Houston, TX 77090-2543
Mailing address
20320 Northwest Fwy Ste 900
Jersey Village, TX 77065-5620
Phone (281) 453-7232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (713) 461-3573
1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581
17510 W Grand Pkwy S
Memorial Hermann Imaging Center Sugar Lan
Sugar Land, TX 77479-2645
Phone (281) 725-5050
23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000
6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544
7474 N Grand Pkwy W
Memorial Hermann Spring CCC
Spring, TX 77379-1570
Phone (281) 374-5400
8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802
925 Gessner Rd
Suite 300
Houston, TX 77024-2521
Phone (713) 242-3480
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Hospital System
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Katy Hospital
- Memorial Hermann - Texas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Radiology Associates PLLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
Locations
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562
16750 Red Oak Dr
Houston, TX 77090
Phone (281) 453-7110
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Body Imaging Physician
- Houston, TX
- NPI 1902802986
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1487811766
-
- Diagnostic Radiology Physician
- Austin, TX
- NPI 1174573273
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1407109770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20320 NORTHWEST FWY STE 900",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770655620",
"telephone_number": "281-453-7232",
"fax_number": "281-440-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16750 RED OAK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902543",
"telephone_number": "281-453-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "KENNY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-23",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "P6911",
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "TX",
"license": "P6911",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "P6911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.