Individual provider Active NPI

Samer Harmoush, M.D.

  • Diagnostic Radiology Physician
  • Port Arthur, TX
National Provider Identifier
1447561683
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R4055 Issued in TX
Practice address
4049 Blackberry LN
Port Arthur, TX 77642-7208
Phone
(409) 722-7004
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10036859 TX
Diagnostic Radiology Physician 2085R0202X R4055 TX Primary

Addresses

Primary practice location

4049 Blackberry LN
Port Arthur, TX 77642-7208

Mailing address

4049 Blackberry LN
Port Arthur, TX 77642-7208

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914000812 TX Practitioner - Diagnostic Radiology 4880968882 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

Whitehouse, TX 75791
Phone (480) 306-6949

11375 S Sam Houston Pkwy W
150 Simonmed Imaging Beltway
Houston, TX 77031-2347
Phone (346) 335-8561

1501 River Pointe Dr
Suite 180
Conroe, TX 77304-2865
Phone (832) 838-4185

16550 Southwest Fwy
Suite C
Sugar Land, TX 77479-2328
Phone (346) 900-8010

17191 St Lukes Way
110 Simonmed Imaging College Park
The Woodlands, TX 77384-8043
Phone (281) 720-8600

2256 W Holcombe Blvd
Simonmed Imaging Med Center
Houston, TX 77030-2008
Phone (346) 335-8519

22751 Professional Dr
Suite 150
Kingwood, TX 77339-6021
Phone (346) 662-2130

23818 Hwy 59 N
Simonmed Imaging Northpark
Kingwood, TX 77339-1510
Phone (346) 323-7125

24600 Katy Fwy
Katy, TX 77494-7805
Phone (346) 527-0245

24721 State Hwy 249
Suite 150
Tomball, TX 77375-7727
Phone (346) 336-7700

2810 1St St
Suite 200
Rosenberg, TX 77471-5830
Phone (832) 841-2024

4049 Blackberry LN
Port Arthur, TX 77642-7208
Phone (480) 306-6949

8633 Broadway St
Suite 109
Pearland, TX 77584-8497
Phone (281) 552-7360

8850 Six Pines Dr
Suite 190
Shenandoah, TX 77380-2688
Phone (832) 381-3800

9440 Bellaire Blvd
Suite 100
Houston, TX 77036-4558
Phone (832) 239-8538

9802 FM 1960 Bypass Rd W
100 Simonmed Imaging Humble
Humble, TX 77338-3572
Phone (281) 358-3800

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10036859TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI of Frisco LP CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MCD LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Sep 3, 2019 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
North Star FP, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star MRI LP CurrentSince Aug 29, 2019 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
North Star FM, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star GV, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Sep 3, 2019 Accepting new patients
Rutgers Nursing Faculty Practice Past Accepting new patients
Rutgers Nursing Faculty Practice Past Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology PastSince Aug 1, 2017 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 529-1016

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

997 Raintree Cir
Ste 110
Allen, TX 75013

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1447561683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 BLACKBERRY LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 BLACKBERRY LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427208",
            "telephone_number": "409-722-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMOUSH",
        "first_name": "SAMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10036859",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R4055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.