Organization Active NPI

Samb PLLC

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1487171898
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9296 Issued in TX
Legal business name
SAMB PLLC
Practice address
2360 Highway 157 N
Mansfield, TX 76063-7540
Phone
(973) 928-0521
Fax
(817) 549-2625
NPI assigned
Aug 25, 2017
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Sapan Bindal, MDNPI 1447645049
Title
Owner
Phone
(817) 453-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9296 TX Primary

Addresses

Primary practice location

2360 Highway 157 N
Mansfield, TX 76063-7540

Mailing address

2360 Highway 157 N
Mansfield, TX 76063-7540
Phone (817) 453-2123

Other identifiers 1

IdentifierTypeStateIssuer
606539OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171101000629 TX Part B Supplier - Clinic/Group Practice 4183990435 Receives reassigned benefits from 4 practitioners
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

5329 Sycamore School Rd
Ste 101
Fort Worth, TX 76123

2210 FM 663
Ste 102
Midlothian, TX 76065

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1487171898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637540",
            "telephone_number": "817-453-2123",
            "fax_number": "817-453-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637540",
            "telephone_number": "973-928-0521",
            "fax_number": "817-549-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BINDAL",
        "authorized_official_first_name": "SAPAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-453-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "606539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.