Individual provider Active NPI

Sameer Thacker

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1508422833
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T8066 Issued in TX
Practice address
17189 Interstate 45 S Ste 205
Shenandoah, TX 77385-3320
Phone
(936) 270-4100
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T8066 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 205
Shenandoah, TX 77385-3320

Mailing address

17189 Interstate 45 S Ste 205
Shenandoah, TX 77385-3320
Phone (936) 270-4100

Other practice location 1

4191 Bellaire Blvd Ste 250
Houston, TX 77025-1017
Phone (346) 356-7000

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
I20221005002605 TX Practitioner - Internal Medicine 4880070499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

17189 I 45 S
Shenandoah, TX 77385-3320
Phone (936) 270-3662

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

7550 Greenbriar Dr
Houston, TX 77030-4508

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Oct 3, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 1001
Houston, TX 77030
Phone (713) 441-4333

4191 Bellaire Blvd
Ste 250
Houston, TX 77025
Phone (346) 356-7000

17189 Interstate 45 S
Ste 205
Shenandoah, TX 77385
Phone (936) 270-4100

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: sthacker232570@directhoustonmethodist.org

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 5

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1508422833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 205",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 205",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4191 Bellaire Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251017",
            "country_code": "US",
            "telephone_number": "346-356-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "SAMEER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.