Individual provider Active NPI

Samiha Alam, D.O

  • Pediatrics Physician
  • Coppell, TX
National Provider Identifier
1457736761
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R7642 Issued in TX
Practice address
760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164
Phone
(972) 429-1475
NPI assigned
Jul 28, 2015
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R3697 KY
Pediatrics Physician 208000000X R7642 TX Primary

Addresses

Primary practice location

760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164

Mailing address

760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164
Phone (972) 429-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3697KYMDPediatrics Physician
R7642TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Pediatric Associates, P.a. Pediatrics Past Accepting new patients
Physicians for Children PastSince Aug 1, 2021 Accepting new patients
Topcare Medical Group Inc PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1457736761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N DENTON TAP RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192164",
            "telephone_number": "972-429-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N DENTON TAP RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192164",
            "telephone_number": "972-429-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SAMIHA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "R3697",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.