Individual provider Active NPI

Samuel Alfonso Vega, MD

  • Adult Medicine Physician
  • Pasadena, TX
National Provider Identifier
1477015493
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
T0971 Issued in TX
Practice address
5050 Crenshaw Rd Ste 100
Pasadena, TX 77505-3139
Phone
(832) 399-4120
Fax
(832) 399-4121
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X T0971 TX Primary

Addresses

Primary practice location

5050 Crenshaw Rd Ste 100
Pasadena, TX 77505-3139

Mailing address

5050 Crenshaw Rd Ste 100
Pasadena, TX 77505-3139

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
I20220719003301 TX Practitioner - Family Practice 9335520527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Care Group PLLCGroup PAC ID 1557318680, 5 clinicians

Practice addresses (Care Compare)

5050 Crenshaw Rd
Suite 100
Pasadena, TX 77505-3139
Phone (832) 399-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0971TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Group PLLC CurrentSince Apr 9, 2022 Accepting new patients
PMC Hospital, LLC Past Accepting new patients

Locations

5050 Crenshaw Rd
Pasadena, TX 77505
Phone (281) 998-8574

5050 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (281) 487-3840

Interoperability endpoints

  • Direct secure messaging: svega468877@direct.stlukeshealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/57555142-fd4d-44f9-b414-6223f59f4079/

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1477015493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "832-399-4120",
            "fax_number": "832-399-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "SAMUEL",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "T0971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.