Hector Xavier Samaniego Jr., M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

H7500 Issued in TX

Practice address

4257 NW Loop 410
San Antonio, TX 78229-4710

Phone

(210) 732-1773

Fax

(210) 732-0991

NPI assigned

Jul 5, 2005

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hectorx.samaniegojr@152159.advancedmd-direct.com

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.

• Hector X. Samaniego, Jr., M.D., P.a.

  • Prescribing (Medical) Psychologist
  • San Antonio, TX
  • NPI 1902102056
  NPD (past) Authorized official
• Hector X. Samaniego, Jr., M.D., P.a.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1386823953
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1487651527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294710",
            "telephone_number": "210-732-1773",
            "fax_number": "210-732-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294710",
            "telephone_number": "210-732-1773",
            "fax_number": "210-732-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "HECTOR",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H7500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114631802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam's Club Optical (Sam's Club Optical 30-8264)
• Sam's East, Inc (Sam's Pharmacy 30-4914)
• Sam's East, Inc. (Sam's Vision Center 30-4939)
• Ernest Sama, PHARMD
• Emilie Lynne Samandi, PA
• Kimberly Samaniego, LPC ASSOCIATE
• Pedro S Samaniego, PTA
• Annalisa Cristina Samano, MSN, APRN, AGACNP
• Italo Augusto Samano, PSY.D.
• Samantha Harris Consulting LLC

• Child & Adolescent Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.

Verify at the official NPI Registry.