Organization Active NPI

G a Samman MD PA

  • Cardiovascular Disease Physician
  • Webster, TX
National Provider Identifier
1508064403
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
G A SAMMAN MD PA
Practice address
17051 N Texas Ave
Webster, TX 77598-4023
Phone
(281) 332-4100
Fax
(281) 332-4166
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Ghyath Samman, MDNPI 1912012352
Title
MD
Phone
(281) 332-4100

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

17051 N Texas Ave
Webster, TX 77598-4023

Mailing address

PO Box 58507
Webster, TX 77598-8507
Phone (281) 332-4100

Other identifiers 1

IdentifierTypeStateIssuer
172300901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000799 TX Part B Supplier - Clinic/Group Practice 3678524626 Receives reassigned benefits from 3 practitioners
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Locations

450 W Medical Center Blvd
Ste 202
Webster, TX 77598
Phone (281) 334-6875

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1508064403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58507",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988507",
            "telephone_number": "281-332-4100",
            "fax_number": "281-332-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 N TEXAS AVE",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984023",
            "telephone_number": "281-332-4100",
            "fax_number": "281-332-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G A SAMMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "SAMMAN",
        "authorized_official_first_name": "GHYATH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-332-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172300901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.